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Shikha Jha MD, Balaji Yegneswaran MD
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Shikha Jha MD, Balaji Yegneswaran MD
Saint Peter's University Hospital, Rutgers University/RWJH
ABSTRACT:
Diabetic Ketoacidosis in pregnancy is considered an obstetrical emergency. 0.5 to 10% of diabetic women will experience DKA during pregnancy. It is associated with increased rate of preterm delivery, perinatal morbidity and mortality with reports ranging from 9-35%. (1,2,3). A high index of close monitoring is must because diabetic ketoacidosis in pregnant patients is more insidious in onset but rapidly progressive as compare to non-pregnant patients. Hypokalemia is common during the treatment of diabetic ketoacidosis (DKA), however, severe hypokalemia at presentation prior to insulin treatment is exceedingly uncommon. This case of a pregnant female presenting with Diabetic Keto Acidosis, has initial detection of hypokalemia prior to the insulin treatment. (4,5,6) The case contributes uniqueness to the medical literature because it has one of the rarest EKG finding of hypokalemia, the prominent U wave, along with other changes, which is a great teaching and learning point during management of electrolytic imbalances and diabetic ketoacidosis.
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