[Maternal diabetic ketosic decompensation which occurred during corticotherapy for fetal lung maturation. A report of three cases].
Three cases of ketosis decompensation occurring immediately in type I diabetic after corticotherapy for lung foetal maturation (LFM) are reported. Few of observations have been published. Increasing doses of insulin is mandatory under close monitoring of blood glucose levels, in particular according to the protocol proposed by Kaushal et al.: infusion of insulin adapted to the results of glucose levels, as a supplementation to the usual doses in each patient. Diabetes does not lead to hesitate prescribing a corticotherapy for LFM, but requires a strict control of needs in insulin to avoid a ketosis decompensation.
Service de gynécologie obstétrique et médecine de la reproduction, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France. Electronic address: ma.dorey@gmail.com.
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M
Dorey
Service de gynécologie obstétrique et médecine de la reproduction, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
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Boileau
Service de réanimation médicale et médecine interne, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
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Pourrat
Service d'endocrinologie et maladies métaboliques, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
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Maréchaud
Service de gynécologie obstétrique et médecine de la reproduction, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
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Pierre
D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000328:Adult; D016883:Diabetic Ketoacidosis / Q000139:chemically induced*; D005260:Female; D005325:Fetal Organ Maturity / Q000187:drug effects*; D006801:Humans; D008168:Lung / Q000187:drug effects / Q000196:embryology*; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000139:chemically induced*; D018566:Pregnancy, High-Risk
D000305:Adrenal Cortex Hormones
Corticotherapy; Corticothérapie; Diabète type 1; Décompensation cétosique; Fetal lung maturation; Grossesse; Ketosis decompensation; Maturation pulmonaire fœtale; Pregnancy; Type 1 diabetes