OBJECTIVE: To describe a case of diabetic ketoacidosis (DKA) in a pregnant woman with type 1 diabetes (T1DM) and disordered eating behaviour treated with a continuous subcutaneous insulin infusion, and to discuss some aspects of the monitoring and management of DKA in pregnancy and whether a pump is the safest therapeutic choice in the presence of some eating disorders. CASE REPORT: This 26-year-old Caucasian woman affected by T1DM was hospitalised during the last weeks of her fourth pregnancy because of DKA due to disordered eating. She was treated with a fluid infusion, intravenous insulin, and her electrolyte imbalance was carefully corrected. An elective cesarean section was performed after the correction of DKA in the 34 th week (+6 days) of gestation. CONCLUSIONS: We suggest that pregnancy in T1DM women with eating disorders may not be rare. The prevention, early recognition and aggressive management of DKA can minimise the possible complications, and is mandatory for the safety of the fetus and mother. ©2011, Editrice Kurtis.

Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: A case report / Napoli, Angela; FRAMARINO DEI MALATESTA, Marialuisa; A., Colatrella; Merola, Gianluca; Trappolini, Massimo; Toscano, Vincenzo; V., Talucci; D., Iafusco. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - STAMPA. - 16:2(2011), pp. e146-e149. [10.3275/7616]

Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: A case report

NAPOLI, Angela;FRAMARINO DEI MALATESTA, Marialuisa;MEROLA, GIANLUCA;TRAPPOLINI, Massimo;TOSCANO, Vincenzo;
2011

Abstract

OBJECTIVE: To describe a case of diabetic ketoacidosis (DKA) in a pregnant woman with type 1 diabetes (T1DM) and disordered eating behaviour treated with a continuous subcutaneous insulin infusion, and to discuss some aspects of the monitoring and management of DKA in pregnancy and whether a pump is the safest therapeutic choice in the presence of some eating disorders. CASE REPORT: This 26-year-old Caucasian woman affected by T1DM was hospitalised during the last weeks of her fourth pregnancy because of DKA due to disordered eating. She was treated with a fluid infusion, intravenous insulin, and her electrolyte imbalance was carefully corrected. An elective cesarean section was performed after the correction of DKA in the 34 th week (+6 days) of gestation. CONCLUSIONS: We suggest that pregnancy in T1DM women with eating disorders may not be rare. The prevention, early recognition and aggressive management of DKA can minimise the possible complications, and is mandatory for the safety of the fetus and mother. ©2011, Editrice Kurtis.
2011
eating disorders; type 1 diabetes mellitus; pregnancy; insulin pump; diabetic ketoacidosis
01 Pubblicazione su rivista::01a Articolo in rivista
Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: A case report / Napoli, Angela; FRAMARINO DEI MALATESTA, Marialuisa; A., Colatrella; Merola, Gianluca; Trappolini, Massimo; Toscano, Vincenzo; V., Talucci; D., Iafusco. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - STAMPA. - 16:2(2011), pp. e146-e149. [10.3275/7616]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/379453
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