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Chapter 57 - Pregestational Type 1 Diabetes Mellitus
from Section 10 - Endocrine Disorders in Pregnancy
- By Melissa-Rosina Pasqua, Amira El-Messidi, Natasha Garfield
Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
Book:

OSCEs in Obstetrics and Maternal-Fetal Medicine

Published online:

23 February 2023

Print publication:

16 February 2023, pp 731-743
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Summary

During your call duty, a 25-year-old primigravida with a 12-year history of type I diabetes mellitus (T1DM) at 26+1 weeks’ gestation by early sonographic dating of an unplanned pregnancy is accompanied by her husband to the obstetric emergency assessment unit at 4:00 AM for a three-hour history of nausea followed by recurrent nonbilious vomiting. Despite the lack of oral intake since her standard bedtime snack, her husband indicates the patient passed urine at least five times over the last hour, as he assisted her due to drowsiness and visual blurring.