Cetoacidosis diabética durante la gestación: una forma poco habitual de inicio de la diabetes tipo 1

• Miguel Angel Rubio Herrera ^[1] ; Abel González González ^[2] ; Ignacio Llorente Gómez de Segura ^[2] ; José María Recio Córdova ^[2] ; A. Muñoz ^[2]
  1. [1] Hospital Clínico San Carlos de Madrid

     Hospital Clínico San Carlos de Madrid

     Madrid, España

     
  2. [2] Sección de Endocrinología y Nutrición, Hospital Universitario Nuestra Señora de la Candelaria
• Localización: Endocrinología y nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición, ISSN 1575-0922, Vol. 52, Nº. 4, 2005, págs. 166-169
• Idioma: español
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• Resumen

  • Diabetic ketoacidosis in pregnant women is comparatively rare. However, it may occur in pregestational patients with type 1 diabetes mellitus or in cases of gestational diabetes complicated by corticotherapy, infections, etc. It can also coincide with the onset of type 1 diabetes, as in the case presented herein. We describe the case of a 28-year old woman who, in the 27th week of pregnancy, presented symptoms of diabetic ketoacidosis. However, clinical tests together with the initial low value of anti-islet cell antibodies made us doubt on the type of diabetes underlying ketoacidosis: gestational diabetes vs the onset of type 1 diabetes mellitus. Subsequent monitoring and data confirmed that the patient had type 1 diabetes. The diabetes appeared (as ketoacidosis) in the third trimester of pregnancy and was probably due to the insulin resistance, which is typical at this stage of pregnancy and which was followed in our patient by a honeymoon period in the months following delivery.