title: Diabetic ketoacidosis occurring with lower blood glucose levels in pregnancy: a report of two cases.
abstract: BACKGROUND
  Euglycemic diabetic ketoacidosis (DKA) during pregnancy is an unusual condition, but it can occur with normal or modest elevations in blood glucose levels. It is usually a complication of type I diabetes.
  
  
  METHODS
  We report two cases of euglycemic DKA, in type II diabetes mellitus and in gestational diabetes. Both patients showed blood glucose levels up to 9 mmoL/L (164 mg/dL), ketonuria and metabolic acidosis. They responded to initiation of correct insulin dosages.
  
  
  CONCLUSIONS
  Euglycemic DKA in pregnancy may occur with type II diabetes or in gestational diabetes and requires prompt recognition and treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India. monikarajivgaur@rediffmail.com
authors.forename: Monika
authors.initials: M
authors.lastname: Madaan
authors.forename: Kiran
authors.initials: K
authors.lastname: Aggarwal
authors.forename: Ritu
authors.initials: R
authors.lastname: Sharma
authors.forename: Shubha Sagar
authors.initials: SS
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D002585:Cesarean Section; D016640:Diabetes, Gestational / Q000097:blood* / Q000628:therapy; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D011247:Pregnancy / Q000097:blood; D011254:Pregnancy in Diabetics / Q000097:blood* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin