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LETTER TO THE EDITOR—BRIEF COMMUNICATION| Volume 171, ISSUE 2, P386-387, December 2013

Euglycemic ketoacidosis in pregnancy and its management: case report and review of literature

Published:October 14, 2013DOI:https://doi.org/10.1016/j.ejogrb.2013.09.034
      Euglycemic ketoacidosis is an entity in which the blood glucose levels are within the normal range but the patient is ketotic with metabolic acidosis. This case consists of euglycemic ketoacidosis resulting from starvation in a previously healthy pregnant woman. We used fixed dose insulin for her successful management.
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      References

        • Owen O.E.
        • Caprio S.
        • Reichard Jr., G.A.
        • Mozzoli M.A.
        • Boden G.
        • Owen R.S.
        Ketosis of starvation: a revisit and new perspectives.
        Clin Endocrinol Metab. 1983; 12: 359-379
        • Garber A.J.
        • Menzel P.H.
        • Boden G.
        • Owen O.E.
        Hepatic ketogenesis and gluconeogenesis in humans.
        J Clin Invest. 1974; 54: 981-989
        • Metzger B.E.
        • Ravnikar V.
        • Vileisis R.A.
        • Freinkel N.
        “Accelerated starvation” and the skipped breakfast in late normal pregnancy.
        Lancet. 1982; 1: 588-592
        • Landon M.B.
        • Gabbe S.G.
        Diabetes mellitus.
        in: Barron W.M. Lindheimer M.D. Medical disorders in pregnancy. Mosby, St Louis1991: 73-97
        • Mahoney C.A.
        Extreme gestational starvation ketoacidosis: case report and review of pathophysiology.
        Am J Kidney Dis. 1992; 20: 276-280
        • Burbos N.
        • Shiner A.M.
        • Morris E.
        Severe metabolic acidosis as a consequence of acute starvation in pregnancy.
        Arch Gynecol Obstet. 2009; 279: 399-400
        • Frise C.
        • Mackillop L.
        Starvation ketoacidosis in pregnancy.
        Endocrine Abstracts. 2010; 21: 143
        • Patel A.
        • Felstead D.
        • Doraiswami M.
        • Stocks G.M.
        • Waheed U.
        Acute starvation in pregnancy: a cause of severe metabolic acidosis.
        Int J Obstet Anesth. 2011; 20: 253-256
        • Le Neveu F.
        • Hywel B.
        • Harvey J.
        Ketoacidosis in non-diabetic pregnancy.
        Diabet Med. 2012; 29: 83-84
        • Johannes B.
        • Scholte J.
        • Willem E.B.
        A case of nondiabetic ketoacidosis in third term twin pregnancy.
        J Clin Endocrinol Metab. 2012; 97: 3021-3024
        • Frise C.
        • Mackillop L.
        • Joash K.
        • Williamson C.
        Starvation ketoacidosis in pregnancy.
        Eur J Obstet Gynecol Reprod Biol. 2013; 167: 1-7