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Endocrine Emergencies During Pregnancy

Diabetic Ketoacidosis and Thyroid Storm

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      References

        • Sibai B.M.
        • Viteri O.A.
        Diabetic Ketoacidosis in Pregnancy.
        Obstet Gynecol. 2014; 123: 167-178
        • Carroll M.A.
        • Yeomans E.R.
        Diabetic ketoacidosis in pregnancy.
        Crit Care Med. 2005; 33: S347-S353
        • Morrison F.J.R.
        • Movassaghian M.
        • Seely E.W.
        • et al.
        Fetal outcomes after diabetic ketoacidosis during pregnancy.
        Diabetes Care. 2017; 40: 77-79
        • Parker J.A.
        • Conway D.L.
        Diabetic ketoacidosis in pregnancy.
        Obstet Gynecol Clin North Am. 2007; 34: 533-543
        • Eledrisi M.S.
        • Beshyah S.A.
        • Malik R.A.
        Management of diabetic ketoacidosis in special populations.
        Diabetes Res Clin Pract. 2021; 174: 1-11
        • Bryant S.N.
        • Herrera C.L.
        • Nelson D.B.
        • et al.
        Diabetic ketoacidosis complicating pregnancy.
        J Neonatal Perinatal Med. 2017; 10: 17-23
        • Tarif N.
        • Al Badr W.
        Euglycemic diabetic ketoacidosis in pregnancy.
        Saudi J Kidney Dis Transpl. 2007; 18: 590-593
        • Pinto M.E.
        • Villena J.E.
        Diabetic ketoacidosis during gestational diabetes. A case report.
        Diabetes Res Clin Pract. 2011; 93: e92-e94
        • Kitabchi A.
        • Miles J.
        • Umpierrez G.
        • et al.
        Hyperglycemic crises in adult patients with diabetes.
        Diabetes Care. 2009; 32: 1335-1343
        • Chiasson J.
        • Aris-jilwan N.
        • Bélanger R.
        • et al.
        Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state.
        CMAJ. 2003; 168: 859-866
        • Barbour L.A.
        • Shao J.
        • Qiao L.
        • et al.
        Human placental growth hormone increases expression of the P85 regulatory unit of phosphatidylinositol 3- kinase and triggers severe insulin resistance in skeletal muscle.
        Endocrinology. 2004; 145: 1144-1150
        • Barbour L.A.
        • McCurdy C.E.
        • Hernandez T.L.
        • et al.
        Cellular mechanisms for insulin resistance in normal pregnancy and gestational diabetes.
        Diabetes Care. 2007; 30: S112-S119
        • Barbour L.A.
        Metabolic culprits in obese pregnancies and gestational diabetes mellitus: big babies, big twists, big picture.
        Diabetes Care. 2019; 42: 718-726
        • Buschur E.O.
        • Stetson B.
        • Barbour L.A.
        • et al.
        Diabetes in pregnancy.
        in: Feingold K.R. Anawalt B. Boyce A. Endotext. Endotext MDText.com, Inc, South Dartmouth, MA2018
        • Barbour L.A.
        • Hernandez T.L.
        • Friedman J.
        Metabolic changes during normal, obese and GDM pregnancies.
        in: Reece E.A. Coustan D.R. Diabetes and obesity in women. Wolters Kluwer, Philadelphia, PA2019: 140-158
        • Guo R.
        • Yang L.
        • Li L.
        • et al.
        Diabetic ketoacidosis in pregnancy tends to occur at lower blood glucose levels : Case – control study and a case report of euglycemic diabetic ketoacidosis in pregnancy.
        J Obstet Gynaecol Res. 2008; 34: 324-330
        • Madaan M.
        • Aggarwal K.
        • Sharma R.
        • et al.
        Diabetic ketoacidosis occurring with lower blood glucose levels in pregnancy: a report of two cases.
        J Reprod Med. 2012; 57: 452-455
        • Dalfrà M.G.
        • Burlina S.
        • Sartore G.
        • et al.
        Ketoacidosis in diabetic pregnancy.
        J Matern Neonatal Med. 2016; 29: 2889-2895
        • American College of Obstetricians and Gynecologists Committee on Practice Bulletins
        Pregestational diabetes mellitus.
        ACOG Pract Bull. 2018; 132: 228-248
        • Hagay Z.J.
        • Weissman A.
        • Lurie S.
        • et al.
        Reversal of fetal distress following intesive treatment of maternal diabetic ketoacidosis.
        Am J Perinatol. 1994; 11: 430-432
        • Takahashi Y.
        • Kawabata I.
        • Shinohara A.
        • et al.
        Transient fetal blood flow redistribution induced by maternal diabetic ketoacidosis diagnosed by Doppler ultrasonography.
        Prenat Diagn. 2000; 20: 517-525
        • Mohan M.
        • Mrcog M.
        • Ahmed K.
        • et al.
        Management of diabetic ketoacidosis in pregnancy.
        Obstet Gynaecol. 2017; 19: 55-62
        • Morris L.
        • Murphy M.
        • Kitabchi A.
        Bicarbonate therapy in severe diabetic ketoacidosis.
        Ann Intern Med. 1986; 105: 836-840
        • Patel M.P.
        • Ahmed A.
        • Gunapalan T.
        • et al.
        Use of sodium bicarbonate and blood gas monitoring in diabetic ketoacidosis: a review.
        World J Diabetes. 2018; 9: 199-205
        • Gabbe S.G.
        • Graves C.R.
        Management of diabetes mellitus complicating pregnancy.
        Am Coll Obstet Gynecol. 2003; 102: 857-868
        • Davidson A.J.F.
        • Park A.L.
        • Berger H.
        • et al.
        Association of improved periconception hemoglobin A 1c with pregnancy outcomes in women with diabetes.
        JAMA Netw Open. 2021; 3: 1-13
        • American Diabetes Association
        Management of diabetes in pregnancy: standards of medical care in diabetes-2020.
        Diabetes Cdare. 2020; 43: S183-S192
        • Sibai B.M.
        Management of late preterm and early-term pregnancies complicated by mild gestational hypertension/pre-eclampsia.
        Semin Perinatol. 2011; 35: 292-296
        • Galindo R.J.
        • Hurtado C.R.
        • Pasquel F.J.
        • et al.
        National trends in incidence, mortality, and clinical outcomes of patients hospitalized for thyrotoxicosis with and without thyroid storm in the United States, 2004-2013.
        Thyroid. 2019; 29: 36-43
        • Valent A.
        • Barbour L.
        Thyroid disease in pregnancy.
        in: Lockwood C.J. Moore T.R. Copel J.A. Creasy & Resnik’s maternal-fetal medicine: principles and practice. 9th edition. Elsevier, Philadelphia (PA)2022
        • Lo J.C.
        • Rivkees S.A.
        • Chandra M.
        • et al.
        Gestational thyrotoxicosis, antithyroid drug use and neonatal outcomes within an integrated healthcare delivery system.
        Thyroid. 2015; 25: 698-705
      1. ACOG PRACTICE BULLETIN Clinical Management Guidelines for Obstetrician–Gynecologists Number 223. Thyroid Disease in Pregnancy.
        Obstet Gynecol Surv. 2020; 135: 261-274
        • Taylor P.N.
        • Albrecht D.
        • Scholz A.
        • et al.
        Global epidemiology of hyperthyroidism and hypothyroidism.
        Nat Rev Endocrinol. 2018; 14: 301-316
        • Sarlis N.J.
        • Gourgiotis L.
        Thyroid emergencies.
        Rev Endocr Metab Disord. 2003; 4: 129-136
        • King J.R.
        • Lachica R.
        • Lee R.H.
        • et al.
        Diagnosis and management of hyperthyroidism in pregnancy: a review.
        Obstet Gynecol Surv. 2016; 71: 675-685
        • Sorah K.
        • Alderson T.
        Hyperthyroidism in pregnancy.
        in: StatPearls. StatPearls Publishing, Treasure Island (FL)2021
        • Sullivan S.
        • Goodier C.
        • Cuff R.
        Thyroid and parathyroid diseases in pregnancy.
        in: Landon M. Obstetrics: normal and problem pregnancies. 8th edition. Elsevier Inc, Philadelphia, PA2021: 919-944.e9
        • Burch H.B.
        • Wartofsky L.
        Life-threatening thyrotoxicosis: thyroid storm.
        Endocrinol Metab Clin North Am. 1993; 22: 263-277
        • Cooper D.S.
        • Laurberg P.
        Hyperthyroidism in pregnancy.
        Lancet Diabetes Endocrinol. 2013; 1: 238-249
        • Nguyen C.T.
        • Sasso E.B.
        • Barton L.
        • et al.
        Graves’ hyperthyroidism in pregnancy: a clinical review.
        Clin Diabetes Endocrinol. 2018; 4: 1-9
        • Sheffield J.S.
        • Cunningham F.G.
        Thyrotoxicosis and heart failure that complicate pregnancy.
        Am J Obstet Gynecol. 2004; 190: 211-217
        • Nayak B.
        • Burman K.
        Thyrotoxicosis and thyroid storm.
        Endocrinol Metab Clin North Am. 2006; 35 (vii): 663-686
        • Wapner R.J.
        • Sorokin Y.
        • Thom E.A.
        • et al.
        Single versus weekly courses of antenatal corticosteroids: evaluation of safety and efficacy.
        Am J Obstet Gynecol. 2006; 195: 633-642
        • Murphy K.E.
        • Hannah M.E.
        • Willan A.R.
        • et al.
        Multiple courses of antenatal corticosteroids for preterm birth (MACS): a randomised controlled trial.
        Lancet. 2008; 372: 2143-2151
        • Wyble A.J.
        • Moore S.C.
        • Yates S.G.
        Weathering the storm: a case of thyroid storm refractory to conventional treatment benefiting from therapeutic plasma exchange.
        J Clin Apher. 2018; 33: 678-681
        • Vyas A.
        • Vyas P.
        • Fillipon N.L.
        • et al.
        Successful treatment of thyroid storm with plasmapharesis in a patient with methimazole-induced agranulocytosis.
        Endocr Pract. 2010; 16: 673-676
        • Sam S.
        • Molitch M.
        Timing and special concerns regarding endocrine surgery during pregnancy.
        Endocrinol Metab Clin North Am. 2003; 32: 337-354
        • Kuy S.
        • Roman S.A.
        • Desai R.
        • et al.
        Outcomes following thyroid and parathyroid surgery in pregnant women.
        Arch Surg. 2009; 144: 399-407
        • Alexander E.K.
        • Pearce E.N.
        • Brent G.A.
        • et al.
        2017 Guidelines of the american thyroid association for the diagnosis and management of thyroid disease during pregnancy and the postpartum.
        Thyroid. 2017; 27https://doi.org/10.1089/thy.2016.0457
        • Männistö T.
        • Mendola P.
        • Grewal J.
        • et al.
        Thyroid diseases and adverse pregnancy outcomes in a contemporary US Cohort.
        J Clin Endocrinol Metab. 2013; 98: 2725-2733
        • Donnelly M.A.
        • Wood C.
        • Casey B.
        • et al.
        Early severe fetal graves disease in a mother after thyroid ablation and thyroidectomy.
        Obstet Gynecol. 2015; 125: 1059-1062