Eating disorders and diabetic ketoacidosis in a pr

Authors: A Napoli M Framarino A Colatrella G Merola M Trappolini V Toscano V Talucci D Iafusco

Publish Date: 2013/07/31

Volume: 16, Issue: 2, Pages: e146-e149

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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 26yearold 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 34th 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

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