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DKA complications in pregnancy

DKA complications in pregnancy

Liver detoxification supplements Compljcations in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. Volume 40, Issue 7. ISPAD Clinical Practice Consensus Guidelines Diabetic ketoacidosis and hyperglycemic hyperosmolar state.

DKA complications in pregnancy -

Managing gestational diabetes will help make sure you have a healthy pregnancy and a healthy baby. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy. During pregnancy, your body makes more hormones and goes through other changes, such as weight gain.

All pregnant women have some insulin resistance during late pregnancy. However, some women have insulin resistance even before they get pregnant. They start pregnancy with an increased need for insulin and are more likely to have gestational diabetes. Having gestational diabetes can increase your risk of high blood pressure during pregnancy.

It can also increase your risk of having a large baby that needs to be delivered by cesarean section C-section. Your blood sugar levels will usually return to normal after your baby is born. You can lower your risk by reaching a healthy body weight after delivery.

Visit your doctor to have your blood sugar tested 6 to 12 weeks after your baby is born and then every 1 to 3 years to make sure your levels are on target. Talk to your doctor about how much weight you should gain for a healthy pregnancy.

You can do a lot to manage your gestational diabetes. Go to all your prenatal appointments and follow your treatment plan, including:. Skip directly to site content Skip directly to search. Español Other Languages. Gestational Diabetes. Data were collected through medical record review.

Pregnancies were excluded if information on birth status live or demise and gestational age at birth or demise were unknown. Among the 77 DKA events in 64 pregnancies in 62 women included in the study, fetal demise, preterm birth, and neonatal intensive care unit NICU admissions occurred in Mothers presented in DKA between 5 and 38 weeks of gestation.

Missing: one each maximum blood urea nitrogen BUN , maximum glucose, maximum osmolality, minimum potassium, pre-DKA HbA 1c , median income, insulin injection, and marital status; two each maximum anion gap and race; 13 minimum phosphate.

P value only includes male vs. female, excludes two fetuses with unknown sex due to early gestational age at fetal demise. USD, U. Factors associated with increased risk of fetal demise were primarily characteristics of the DKA event severity e. This finding suggests that the observed increased risk of preterm birth among women with DKA during pregnancy could be due to the higher prevalence of risk factors in this population.

DKA during pregnancy poses a risk to the fetus both at the time of the event and following. Further research is needed to identify effective methods for prevention, early recognition, and timely treatment of DKA in pregnancy to mitigate risk of fetal demise and other adverse fetal outcomes.

Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under award number T32HD The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Duality of Interest. No potential conflicts of interest relevant to this article were reported. Author Contributions. contributed to the study concept and design.

contributed to the acquisition of data. contributed to the analysis and interpretation of data. drafted the manuscript. and M. contributed to the statistical analysis. supervised the study. All authors contributed to the critical revision of the manuscript for important intellectual content. is the guarantor of this work and, as such, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Prior Presentation. Parts of this study were presented in abstract form at the 77th Scientific Sessions of the American Diabetes Association, San Diego, CA, 9—13 June Sign In or Create an Account. Search Dropdown Menu. header search search input Search input auto suggest.

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Skip Nav Destination Close navigation menu Article navigation. Volume 40, Issue 7. Previous Article Next Article. Article Information. Article Navigation. E-Letters: Observations June 13 Fetal Outcomes After Diabetic Ketoacidosis During Pregnancy Fritha J.

Morrison ; Fritha J. This Site. Google Scholar. Maryam Movassaghian Maryam Movassaghian. Ellen W.

Diabetic ketoacidosis DKA in complkcations is an obstetrical emergency associated with an Strength and power fueling tips maternal and Liver detoxification supplements pregnancg risk if not Liver detoxification supplements identified DDKA treated. Pregnancy is characterized by progressive insulin resistance, particularly throughout the second and third trimesters. The altered metabolic milieu during pregnancy means that DKA can develop more rapidly and at lower plasma glucose concentrations than observed outside of pregnancy, known as euglycemic DKA. Maheswaran Mahesh Dhanasekaran, M. Aoife M. Egan, M. Fritha Metabolism-Boosting Foods. MorrisonMaryam MovassaghianEllen W. Seely Pregnacny, Ashley CurranMaria ShubinaEmma Morton-EgglestonChloe A. ZeraJeffrey L. EckerFlorence M.

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