An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy
Fulminant type 1 diabetes is a new subtype of rapid-onset type 1 diabetes, with pancreatic exocrine dysfunction, that usually develops during the third trimester of pregnancy. We describe a patient with fulminant type 1 diabetes onset during her second trimester, resulting in premature delivery. The...
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Wiley
2014-01-01
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Series: | Case Reports in Obstetrics and Gynecology |
Online Access: | http://dx.doi.org/10.1155/2014/968547 |
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author | Tomohiro Okuda Sadao Yamashita Yoshio Ogino Hisashi Kataoka Jo Kitawaki |
author_facet | Tomohiro Okuda Sadao Yamashita Yoshio Ogino Hisashi Kataoka Jo Kitawaki |
author_sort | Tomohiro Okuda |
collection | DOAJ |
description | Fulminant type 1 diabetes is a new subtype of rapid-onset type 1 diabetes, with pancreatic exocrine dysfunction, that usually develops during the third trimester of pregnancy. We describe a patient with fulminant type 1 diabetes onset during her second trimester, resulting in premature delivery. The 34-year-old woman, without any known risk factors for diabetes mellitus, experienced a sudden stillbirth at 24-weeks gestation. Her blood glucose level was 950 mg/dL and she was positive for urine ketone bodies. The condition met all the diagnostic criteria for fulminant type 1 diabetes, and was diagnosed as such. Although this disease is rare, its progression is rapid, and its clinical course is severe and occasionally leads to death; therefore, a full knowledge of the disease is important to facilitate an accurate diagnosis. |
format | Article |
id | doaj-art-26af998faf234332b23ad8391ed4cf92 |
institution | Kabale University |
issn | 2090-6684 2090-6692 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Obstetrics and Gynecology |
spelling | doaj-art-26af998faf234332b23ad8391ed4cf922025-02-03T01:31:56ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/968547968547An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of PregnancyTomohiro Okuda0Sadao Yamashita1Yoshio Ogino2Hisashi Kataoka3Jo Kitawaki4Department of Obstetrics and Gynecology, Fukuchiyama City Hospital, 231 Atsunaka-cho, Fukuchiyama, Kyoto 620-8505, JapanDepartment of Obstetrics and Gynecology, Fukuchiyama City Hospital, 231 Atsunaka-cho, Fukuchiyama, Kyoto 620-8505, JapanDepartment of Obstetrics and Gynecology, Fukuchiyama City Hospital, 231 Atsunaka-cho, Fukuchiyama, Kyoto 620-8505, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanFulminant type 1 diabetes is a new subtype of rapid-onset type 1 diabetes, with pancreatic exocrine dysfunction, that usually develops during the third trimester of pregnancy. We describe a patient with fulminant type 1 diabetes onset during her second trimester, resulting in premature delivery. The 34-year-old woman, without any known risk factors for diabetes mellitus, experienced a sudden stillbirth at 24-weeks gestation. Her blood glucose level was 950 mg/dL and she was positive for urine ketone bodies. The condition met all the diagnostic criteria for fulminant type 1 diabetes, and was diagnosed as such. Although this disease is rare, its progression is rapid, and its clinical course is severe and occasionally leads to death; therefore, a full knowledge of the disease is important to facilitate an accurate diagnosis.http://dx.doi.org/10.1155/2014/968547 |
spellingShingle | Tomohiro Okuda Sadao Yamashita Yoshio Ogino Hisashi Kataoka Jo Kitawaki An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy Case Reports in Obstetrics and Gynecology |
title | An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy |
title_full | An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy |
title_fullStr | An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy |
title_full_unstemmed | An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy |
title_short | An Unusual Case of Fulminant Type 1 Diabetes during the Second Trimester of Pregnancy |
title_sort | unusual case of fulminant type 1 diabetes during the second trimester of pregnancy |
url | http://dx.doi.org/10.1155/2014/968547 |
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