{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T03:58:11Z","timestamp":1782359891107,"version":"3.54.5"},"reference-count":15,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,30]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>Gestational diabetes mellitus (GDM) is defined as the first onset of glucose intolerance in pregnancy without prior known diabetes. While it is commonly associated with metabolic risk factors such as obesity and hypertension, a small percentage of women with GDM have underlying autoimmune causes, with presence of islet-cell antibodies resulting in autoimmune-mediated destruction of the pancreas. We present a case of idiopathic postpartum pancreatitis precipitating fulminant diabetic ketoacidosis in a patient with otherwise well-controlled GDM during pregnancy, and subsequent findings of positive anti-glutamic acid decarboxylase antibody. This is the first presentation of autoimmune diabetes diagnosed postnatally in a woman who has no previous medical or family history.<\/jats:p>","DOI":"10.1136\/bcr-2022-253133","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T10:31:32Z","timestamp":1670409092000},"page":"e253133","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Unexpected case of postnatal pancreatitis: first presentation of autoimmune diabetes"],"prefix":"10.1136","volume":"15","author":[{"given":"Zi Xi","family":"Poo","sequence":"first","affiliation":[{"name":"Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen Shan","family":"Sim","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lay Kok","family":"Tan","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,7]]},"reference":[{"key":"2025082707444555000_15.12.e253133.1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2393-14-345","article-title":"Ethnic differences translate to inadequacy of high-risk screening for gestational diabetes mellitus in an Asian population: a cohort study","volume":"14","author":"Chong","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025082707444555000_15.12.e253133.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2009.04.004"},{"key":"2025082707444555000_15.12.e253133.3","doi-asserted-by":"crossref","unstructured":"International Association of Diabetes and Pregnancy Study Groups Consensus Panel . International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. 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J Pancreas"},{"key":"2025082707444555000_15.12.e253133.13","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.5641"},{"key":"2025082707444555000_15.12.e253133.14","doi-asserted-by":"publisher","DOI":"10.1136\/gut.25.12.1340"},{"key":"2025082707444555000_15.12.e253133.15","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.2169\/internalmedicine.48.2393","article-title":"Transient anti-GAD antibody positivity and acute pancreatitis with pancreas tail swelling in a patient with susceptible haplotype for type 1 diabetes mellitus","volume":"48","author":"Kahara","year":"2009","journal-title":"Intern Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:44:53Z","timestamp":1756305893000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":15,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12,7]]},"published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1136\/bcr-2022-253133"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253133","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12]]}}}