{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:22:45Z","timestamp":1793380965018,"version":"4.5.0"},"reference-count":21,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,7]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Fulminant type 1 diabetes is a relatively new subtype of type 1 diabetes characterised by a sudden onset of severe diabetic ketoacidosis (DKA) in patients with no history of diabetes and can cause imminent death if untreated. We discuss a rare case of a Pacific Islander woman who was 36 weeks pregnant and presented to the emergency department with DKA and fetal death in utero having had a normal glucose tolerance test 4\u2009weeks earlier. She was diagnosed with fulminant type 1 diabetes and was treated with an intravenous insulin-dextrose infusion. She delivered a stillborn female infant and was discharged on regular subcuticular insulin. This case is helpful in understanding a rare, lethal disease that is not well reported globally and especially in Australia, as it requires prompt recognition and treatment to prevent detrimental outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2022-253585","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T14:35:36Z","timestamp":1698762936000},"page":"e253585","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Fulminant type 1 diabetes linked with fetal death in utero"],"prefix":"10.1136","volume":"16","author":[{"given":"Irene Eun Jae","family":"Ju","sequence":"first","affiliation":[{"name":"Obstetrics and gynaecology, Westmead Hospital, Westmead, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshini","family":"Nayyar","sequence":"additional","affiliation":[{"name":"Obstetrics and gynaecology, Westmead Hospital, Westmead, New South Wales, Australia"},{"name":"Maternal Foetal Medicine, Westmead Hospital, Westmead, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"2025082703210681000_16.10.e253585.1","doi-asserted-by":"publisher","DOI":"10.1038\/ncpendmet0351"},{"key":"2025082703210681000_16.10.e253585.2","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0280"},{"key":"2025082703210681000_16.10.e253585.3","doi-asserted-by":"publisher","DOI":"10.1900\/RDS.2006.3.169"},{"key":"2025082703210681000_16.10.e253585.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200002033420501"},{"key":"2025082703210681000_16.10.e253585.5","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000014319","article-title":"Fulminant type 1 diabetes mellitus: two case reports","volume":"98","author":"You","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"2025082703210681000_16.10.e253585.6","unstructured":"World Health Organisation . 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