Diabetes crisis in pregnancy: a case report.
Optimal maternal, fetal, and neonatal outcomes are the goal of care for pregnant women with preexisting diabetes. Women with a long history of poorly managed diabetes begin pregnancy with a deficit that poses additional challenges for the patient and the healthcare team. The following case study presents a woman who had a history of type 1 diabetes that was poorly controlled and experienced an incidence of severe hypoglycemia with serious sequelae.
McCaffrey
Mary P
MP
University of Maryland Medical Center, Baltimore, MD 21201, USA. mmccaffrey@umm.edu
Keith
Tracy L
TL
Lazear
Janice L
JL
D000328:Adult; D017604:Cesarean Section, Repeat; D003422:Critical Care; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000523:psychology / Q000628:therapy*; D004632:Emergency Medical Services; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology / Q000628:therapy*; D015931:Intensive Care, Neonatal; D020380:Needs Assessment; D009730:Nursing Assessment; D010347:Patient Care Planning; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic; D011181:Postnatal Care; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000523:psychology / Q000628:therapy*; D011295:Prenatal Care; D012640:Seizures / Q000209:etiology