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...

Full description

Saved in:
Bibliographic Details
Main Authors: Tomohiro Okuda, Sadao Yamashita, Yoshio Ogino, Hisashi Kataoka, Jo Kitawaki
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/968547
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558640666509312
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
work_keys_str_mv AT tomohirookuda anunusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT sadaoyamashita anunusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT yoshioogino anunusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT hisashikataoka anunusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT jokitawaki anunusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT tomohirookuda unusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT sadaoyamashita unusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT yoshioogino unusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT hisashikataoka unusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy
AT jokitawaki unusualcaseoffulminanttype1diabetesduringthesecondtrimesterofpregnancy