title: Eating disorders and diabetic ketoacidosis in a pregnant woman with type 1 diabetes: a case report.
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.
  
  
  METHODS
  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.
authors: Department of Clinical and Molecular Medicine, II Faculty of Medicine, Sapienza University of Rome, Rome, Italy. angela.napoli@uniroma1.it
authors: A
authors: A
authors: Napoli
authors: M
authors: M
authors: Framarino
authors: A
authors: A
authors: Colatrella
authors: G
authors: G
authors: Merola
authors: M
authors: M
authors: Trappolini
authors: V
authors: V
authors: Toscano
authors: V
authors: V
authors: Talucci
authors: D
authors: D
authors: Iafusco
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000503:physiopathology / Q000523:psychology*