Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: A case report
| Autor: | V. Toscano, G. Merola, A. Napoli, D. Iafusco, A. Colatrella, M. Framarino, V. Talucci, Trappolini M |
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| Přispěvatelé: | Napoli, A, Framarino, M, Colatrella, A, Merola, G, Trappolini, M, Toscano, V, Talucci, V, Iafusco, Dario |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Insulin pump Pediatrics medicine.medical_specialty endocrine system diseases Diabetic ketoacidosis Pregnancy in Diabetics eating disorders Feeding and Eating Disorders diabetic ketoacidosis Diabetes mellitus Humans Medicine Disordered eating type 1 diabetes mellitus pregnancy insulin pump Type 1 diabetes Pregnancy business.industry nutritional and metabolic diseases medicine.disease Surgery Psychiatry and Mental health Clinical Psychology Eating disorders Diabetes Mellitus Type 1 Gestation Female business |
| Zdroj: | Scopus-Elsevier |
| Popis: | 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 26-year-old 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. |
| Databáze: | OpenAIRE |
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