Early neonatal death caused by severe euglycemic ketoacidosis in a pregnant woman with type 1 Diabetes mellitus

Diabetic ketoacidosis (DKA) is one of the most serious acute complications of diabetes mellitus and is characterized by uncontrolled hyperglycemia, metabolic acidosis and ketosis. The reported incidence of Diabetes mellitus in pregnancy ranges from 6 to 7% with 90% occurring among women affected by gestational diabetes mellitus (GDM) (1). The overall incidence of DKA occurrence during pregnancy is difficult to ascertain but some articles have reported an incidence between 1 and 3% (2, 3). Although it is a rare condition, DKA in pregnancy is an urgent complication which can compromise both fetus and mother.