Fulminant type 1 diabetes mellitus in pregnancy
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Medical and Biological Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000900501 |
Resumo: | 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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Brazilian Journal of Medical and Biological Research |
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Fulminant type 1 diabetes mellitus in pregnancyFulminant type 1 diabetes mellitusPregnancyDiabetic ketoacidosisPlasma glucoseHemoglobin A1CFulminant 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.Associação Brasileira de Divulgação Científica2020-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000900501Brazilian Journal of Medical and Biological Research v.53 n.9 2020reponame:Brazilian Journal of Medical and Biological Researchinstname:Associação Brasileira de Divulgação Científica (ABDC)instacron:ABDC10.1590/1414-431x20209633info:eu-repo/semantics/openAccessLi,Chun-YuLi,YangYou,Zi-YingLiu,You-RenWang,Yu-JueMu,TongZhao,Cheng-ZhiYi,Zu-MuZhang,Yu-Weieng2020-07-14T00:00:00Zoai:scielo:S0100-879X2020000900501Revistahttps://www.bjournal.org/https://old.scielo.br/oai/scielo-oai.phpbjournal@terra.com.br||bjournal@terra.com.br1414-431X0100-879Xopendoar:2020-07-14T00:00Brazilian Journal of Medical and Biological Research - Associação Brasileira de Divulgação Científica (ABDC)false |
dc.title.none.fl_str_mv |
Fulminant type 1 diabetes mellitus in pregnancy |
title |
Fulminant type 1 diabetes mellitus in pregnancy |
spellingShingle |
Fulminant type 1 diabetes mellitus in pregnancy Li,Chun-Yu Fulminant type 1 diabetes mellitus Pregnancy Diabetic ketoacidosis Plasma glucose Hemoglobin A1C |
title_short |
Fulminant type 1 diabetes mellitus in pregnancy |
title_full |
Fulminant type 1 diabetes mellitus in pregnancy |
title_fullStr |
Fulminant type 1 diabetes mellitus in pregnancy |
title_full_unstemmed |
Fulminant type 1 diabetes mellitus in pregnancy |
title_sort |
Fulminant type 1 diabetes mellitus in pregnancy |
author |
Li,Chun-Yu |
author_facet |
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 |
author_role |
author |
author2 |
Li,Yang You,Zi-Ying Liu,You-Ren Wang,Yu-Jue Mu,Tong Zhao,Cheng-Zhi Yi,Zu-Mu Zhang,Yu-Wei |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
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 |
dc.subject.por.fl_str_mv |
Fulminant type 1 diabetes mellitus Pregnancy Diabetic ketoacidosis Plasma glucose Hemoglobin A1C |
topic |
Fulminant type 1 diabetes mellitus Pregnancy Diabetic ketoacidosis Plasma glucose Hemoglobin A1C |
description |
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. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000900501 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000900501 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1414-431x20209633 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Divulgação Científica |
publisher.none.fl_str_mv |
Associação Brasileira de Divulgação Científica |
dc.source.none.fl_str_mv |
Brazilian Journal of Medical and Biological Research v.53 n.9 2020 reponame:Brazilian Journal of Medical and Biological Research instname:Associação Brasileira de Divulgação Científica (ABDC) instacron:ABDC |
instname_str |
Associação Brasileira de Divulgação Científica (ABDC) |
instacron_str |
ABDC |
institution |
ABDC |
reponame_str |
Brazilian Journal of Medical and Biological Research |
collection |
Brazilian Journal of Medical and Biological Research |
repository.name.fl_str_mv |
Brazilian Journal of Medical and Biological Research - Associação Brasileira de Divulgação Científica (ABDC) |
repository.mail.fl_str_mv |
bjournal@terra.com.br||bjournal@terra.com.br |
_version_ |
1754302947931455488 |