Diabetic ketoacidosis in pregnancy

Postgrad Med J. 2003 Aug;79(934):454-7. doi: 10.1136/pmj.79.934.454.


The occurrence of diabetic ketoacidosis in pregnancy compromises both the fetus and the mother. It usually occurs in the later stages of pregnancy and is also seen in newly presenting type 1 diabetes patients. Despite improvement in its incidence rates and outcomes over the years, it still remains a major clinical problem since it tends to occur at lower blood glucose levels and more rapidly than in non-pregnant patients often causing delay in the diagnosis. This article illustrates a typical case of diabetic ketoacidosis in pregnancy and reviews the literature to provide an insight into its pathophysiology and management.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Counseling
  • Diabetes Mellitus, Type 1 / prevention & control
  • Diabetes Mellitus, Type 1 / therapy
  • Diabetic Ketoacidosis* / etiology
  • Diabetic Ketoacidosis* / prevention & control
  • Diabetic Ketoacidosis* / therapy
  • Female
  • Fetal Death / etiology
  • Humans
  • Preconception Care
  • Pregnancy
  • Pregnancy in Diabetics / prevention & control
  • Pregnancy in Diabetics / therapy*
  • Prenatal Care
  • Risk Factors