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Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: A case report

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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 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.

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Authors and Affiliations

  1. Department of Clinical and Molecular Medicine, S. Andrea Hospital, 2nd Faculty of Medicine, Sapienza University, via di Grottarossa 1035-1039, 00189, Roma, Italy

    A. Napoli MD, A. Colatrella, G. Merola, M. Trappolini, V. Toscano & V. Talucci

  2. Department of Gynecological Sciences, Perinatology and Child Care, I Faculty of Medicine, Sapienza University of Rome, Rome, Italy

    M. Framarino

  3. Department of Pediatrics, Second University of Naples, Naples, Italy

    D. Iafusco

Authors
  1. A. Napoli MD
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  2. M. Framarino
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  3. A. Colatrella
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  4. G. Merola
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  5. M. Trappolini
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  6. V. Toscano
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  7. V. Talucci
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  8. D. Iafusco
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Corresponding author

Correspondence to A. Napoli MD.

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Napoli, A., Framarino, M., Colatrella, A. et al. Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: A case report. Eat Weight Disord 16, e146–e149 (2011). https://doi.org/10.1007/BF03325322

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  • DOI: https://doi.org/10.1007/BF03325322

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