Diabetic Ketoacidosis in Pregnancy: A Case Report
Keywords: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.
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