Figure 1. Fetal cardiotocography of the patient at initial presentation showing reduced variability and decelerations.
| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
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Case Report
Volume 16, Number 2, February 2025, pages 87-93
A Peculiar Case of Fetal Distress Leading to the Diagnosis of Diabetic Ketoacidosis in Pregnancy
Figures
Table
| Laboratory investigations | Results | Reference interval |
|---|---|---|
| aAbnormal results. pCO2: partial pressure of CO2; pO2: partial pressure of O2. | ||
| Full blood count | ||
| Hemoglobin, g/dL | 13.2 | 12.0 - 16.0 |
| White blood cell, 109/L | 7.75 | 4.0 - 10.0 |
| Platelets, 109/L | 240 | 140 - 440 |
| Venous blood gas (VBG) and renal panel | ||
| pH | 7.14a | 7.35 - 7.45 |
| pCO2, mm Hg | 14.6a | 35.0 - 45.0 |
| pO2, mm Hg | 63.5 | 80.0 - 100.0 |
| Sodium, mmol/L | 125a | 136 - 145 |
| Potassium, mmol/L | 5.0 | 3.5 - 5.1 |
| Creatinine, mmol/L | 64 | 49 - 90 |
| Urea, mmol/L | 6.6 | 2.4 - 7.0 |
| Bicarbonate (HCO3), mmol/L | < 5a | 22 - 29 |
| Venous glucose, mmol/L | 34.0a | 3.9 - 6.0 |
| Chloride, mmol/L | 98 | 98 - 107 |
| Bone metabolism panel | ||
| Adjusted calcium, mmol/L | 2.38 | 2.10 - 2.55 |
| Phosphate, mmol/L | 1.8a | 0.7 - 1.5 |
| Magnesium, mmol/L | 0.95 | 0.66 - 1.07 |
| Liver function test | ||
| Bilirubin, µmol/L | 3 | 2 - 9 |
| Albumin, g/L | 30 | 35 - 50 |
| Alanine transaminase, U/L | 14 | 0 - 55 |
| Aspartate transaminase, U/L | 15 | 5 - 34 |
| Alkaline phosphatase, U/L | 108 | 43 - 160 |
| Gamma-glutamyl transferase, U/L | 23 | 8 - 33 |
| Lipid panel | ||
| Total cholesterol (TC), mmol/L | 6.1 | Desirable < 5.2 |
| Borderline high 5.2 - 6.1 | ||
| High ≥ 6.2 | ||
| High-density lipoprotein (HDL), mmol/L | 1.2 | Low < 1.0 |
| Desirable 1.0 - 1.5 | ||
| High ≥ 1.6 | ||
| Low-density lipoprotein (LDL), mmol/L | Invalid | - |
| Triglycerides (TG), mmol/L | 6.5a | Optimal < 2.6 |
| Desirable 2.6 - 3.3 | ||
| Borderline high 3.4 - 4.0 | ||
| High 4.1 - 4.8 | ||
| Very high ≥ 4.9 | ||
| Others | ||
| Ketones/beta-hydroxybutyrate (BOHB), mmol/L | 3.3a | 0.0 - 0.6 |
| Glycated hemoglobin (HbA1c), % | > 14.0a | |
| Thyroxine, free (FT4), pmol/L | 13.0 | 10.1 - 15.4 |
| Thyroid-stimulating hormone (TSH), mIU/L | 0.86 | 0.33 - 3.33 |
| Procalcitonin, µg/L | 0.07 | < 0.09 |
| Troponin I, ng/L | < 10 | < 16 |
| Lactate, mmol/L | 1.4 | 0.5 - 2.2 |