Diabetic Ketoacidosis in Pregnancy: A Case Report


  • Febrian Daru Setiawan
  • Hermina Novida




Diabetic Ketoacidosis, Pregnancy, Diabetes Mellitus, Type 1 DM


A 31-year-old pregnant woman complained of vomiting, shortness of breath, fever, general weakness,
painful and frequent urination with sign of hypertension, tachycardia, Kussmaul breathing. Laboratory
studies showed neutrophilia, leukocytosis, hyperglycemia, hypokalemia, ketonuria, metabolic acidosis,
low C-peptide, low Thyroid Stimulating Hormone, high FT4 and Staphylococcus in blood culture
was diagnosed with Diabetic Ketoacidosis, pregestational Type 1 Diabetes Mellitus, hyperemesis
gravidarum, 14 weeks of pregnancy, suspect Urinary Tract Infection, hypokalemia, hypertension, and
subclinical hyperthyroidism. Besides, the patient blamed the fetus on causing the disease and financial
problem so that the patient also was diagnosed with episode of moderate depression. The patient received
KVT1 diet therapy, fluid replacement therapy, insulin therapy, correction of hypokalemia, correction
of acidosis metabolic antibiotic and anti-hypertension. The therapies aimed to prevent maternal and
fetal morbidity. Supportive psychotherapy therapy, relaxation therapy, and family psychoeducation
were also needed to improve patient’s compliant. The patient was also suggested to consult for family
planning and glucose control before conception.

Author Biographies

Febrian Daru Setiawan

Resident, Department of Internal Medicine Dr. Soetomo Hospital – Faculty of Medicine Airlangga
University, Surabaya Indonesia,

Hermina Novida

Lecturer, Division of Endocrinology, Metabolic Diseases and Diabetes, Department of Internal Medicine, Dr. Soetomo Hospital – Faculty of Medicine Airlangga University, Surabaya Indonesia




How to Cite

Febrian Daru Setiawan, & Hermina Novida. (2021). Diabetic Ketoacidosis in Pregnancy: A Case Report. Indian Journal of Forensic Medicine & Toxicology, 16(1), 480–486. https://doi.org/10.37506/ijfmt.v16i1.17498