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Fulminant type 1 diabetes mellitus in pregnancy
Li, Chun-Yu; Li, Yang; You, Zi-Ying; Liu, You-Ren; Wang, Yu-Jue; Mu, Tong; Zhao, Cheng-Zhi; Yi, Zu-Mu; Zhang, Yu-Wei.
Afiliação
  • Li, Chun-Yu; Sichuan University. West China School of Medicine. CN
  • Li, Yang; West China Hospital, Sichuan University. Department of Endocrinology and Metabolism. CN
  • You, Zi-Ying; Sichuan University. West China School of Medicine. CN
  • Liu, You-Ren; Sichuan Provincial Academy of Medical Sciences & Sichuan Provincial Peoples Hospital Health Management Center. CN
  • Wang, Yu-Jue; Sichuan Provincial Academy of Medical Sciences & Sichuan Provincial Peoples Hospital. Department of Obstetrics and Gynecology. CN
  • Mu, Tong; Sichuan University. West China School of Medicine. CN
  • Zhao, Cheng-Zhi; Sichuan University. West China School of Medicine. CN
  • Yi, Zu-Mu; Sichuan University. West China School of Medicine. CN
  • Zhang, Yu-Wei; West China Hospital, Sichuan University. Department of Endocrinology and Metabolism. CN
Rev. bras. pesqui. méd. biol ; Braz. j. med. biol. res;53(9): e9633, 2020. tab
Article em En | LILACS, ColecionaSUS | ID: biblio-1132552
Biblioteca responsável: BR1.1
ABSTRACT
Fulminant type 1 diabetes mellitus (FT1DM) has received clinical attention for its low incidence and poor prognosis. Currently, few cases of FT1DM are associated with pregnancy in clinical practice, but it poses a great threat to the life of mothers and infants. Here, we present two cases of FT1DM in pregnancy. In Case 1, the patient was a 26-year-old woman who was admitted to the hospital with reduced fetal movement. She was diagnosed with FT1DM and delivered a dead female fetus. Lispro and lantus were administered to control blood glucose, and lipoic acid for antioxidant therapy. In Case 2, the patient was a 28-year-old woman who developed nausea, vomiting, diarrhea, and polydipsia, which later proved to be FT1DM. An abortion was induced and blood glucose levels were controlled using an insulin pump. All physicians should be aware of this disease in order to provide prompt diagnosis and emergency treatment, thus improving maternal prognosis. We suggest that plasma glucose/hemoglobin A1C ratio be adopted as a new clinical parameter in predicting FT1DM.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS / ColecionaSUS Assunto principal: Diabetes Mellitus Tipo 1 Tipo de estudo: Incidence_studies / Prognostic_studies Limite: Adult / Humans / Infant / Pregnancy Idioma: En Revista: Braz. j. med. biol. res / Rev. bras. pesqui. méd. biol Assunto da revista: BIOLOGIA / MEDICINA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: China País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS / ColecionaSUS Assunto principal: Diabetes Mellitus Tipo 1 Tipo de estudo: Incidence_studies / Prognostic_studies Limite: Adult / Humans / Infant / Pregnancy Idioma: En Revista: Braz. j. med. biol. res / Rev. bras. pesqui. méd. biol Assunto da revista: BIOLOGIA / MEDICINA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: China País de publicação: Brasil