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Diabetes Care 26:958-959, 2003
© 2003 by the American Diabetes Association, Inc.

Letters: Observations
Letter

Pregnancy Complicated by Diabetic Ketoacidosis

Maternal and fetal outcomes

Michael B. Schneider, MD1, Guillermo E. Umpierrez, MD1,2, Risa D. Ramsey, PHD1, William C. Mabie, MD1 and Kelly A. Bennett, MD1

1 Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee
2 Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee

The first 20% of the full text of this article appears below.

Despite intensified insulin treatment and strict surveillance of metabolic control in diabetic women during pregnancy, diabetic ketoacidosis (DKA) complicates 2–9% of diabetic pregnancies (1) and represents the leading cause of fetal loss, with a fetal mortality rate of 30–90% (1–3).

From August 1991 to December 2001, 2,025 pregnant women with diabetes were admitted to the University of Tennessee Women’s Hospital. Of these, 888 women (44%) received insulin therapy, and 11 women (1.2%) presented with DKA (blood glucose: 377 ± 27 mg/dl, pH: 7.22 ± 0.01, bicarbonate 7.9 . . . [Full Text of this Article]


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Copyright © 2003 by the American Diabetes Association.