S. Wazir, S. Shittu, K. Dukhan, M. Sharief, S. Beer, W. Malik, et al. (2022). Euglycemic diabetic ketoacidosis in pregnancy with COVID-19: A case report and literature review. Clinical case reports, 10(4), e05680. https://doi.org/10.1002/ccr3.5680

PubMed 35414931

[Abstract]
Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes and is considered a medical emergency. Euglycemic DKA (EKDA) is a variant of DKA with a normal or minimally elevated glucose level <200 mg/dl. The condition can be difficult to diagnose due to the relatively normal glucose levels. Pregnancy, infection, and a low-calorie intake are some of the contributing common etiologies of EDKA. Despite a rapid increase in scientific publications on COVID-19, there are still knowledge gaps regarding the course of COVID-19 in some patient subset. This is especially the case for pregnant women. In this case report, we discuss the course of COVID-19 infection in a pregnant woman with gestational diabetes who developed severe euglycemic diabetic ketoacidosis triggered by various precipitating factors, including starvation, caused by COVID-19 infection and its gastrointestinal effects.