“How is the condition of my pregnant sister?”
I have a 27-year-old sister who is at 32 weeks gestation. She presents to the Obstetrical Unit for fatigue and lethargy. My sister has a history of type 1 diabetes for 12 years. She denies hypertension, retinopathy, and renal disease. Her obstetric history is significant for two first trimester pregnancy losses occurring 1 and 3 years previously. Her medications include twice-daily subcutaneous insulin. On examination, her blood pressure (BP) is 84/44 mm Hg, heart rate (HR) is 120 bpm, and respiratory rate (RR) is 32 breaths per minute. She appears sleepy and confused. The mucous membranes are dry. The urine on the dipstick shows a specific gravity of 1.030, 4+ glucose, and 3+ ketones. The fingerstick glucose is 280 mg/dL. May I ask what is the diagnosis of my sister I ask her through this yet I want to know about her condition?
1 Answer
This is a high risk pregnancy based on the history. She is at increased risk for diabetic keto acidosis. She needs close follow up with maternal fetal medicine specialist and endocrinologist(diabetes specialist) to have a safe pregnancy. Discuss with her attending physician, ask questions, come up with a plan and follow everything advised to a T.
Take care and safe pregnancy!
Take care and safe pregnancy!
