{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T08:32:48Z","timestamp":1786696368726,"version":"build-2736575974"},"reference-count":5,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ugeskr L\u00e6ger"],"abstract":"<jats:p>In this case report, a pregnant woman with diet-controlled gestational diabetes and hyperemesis developed severe euglycemic ketoacidosis (DKA) following administration of betamethasone for threatened preterm labor. Arterial blood gas demonstrated metabolic acidosis accompanied by elevated ketones and normoglycemia. Intensive care management using a modified pregnancy-adapted protocol resulted in complete maternal recovery and progression to term. Although uncommon, euglycemic DKA in pregnancy is a potentially life-threatening condition that necessitates prompt recognition and coordinated care.<\/jats:p>","DOI":"10.61409\/v12251038","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:41:57Z","timestamp":1782974517000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Euglycemic ketoacidosis in gestational diabetes"],"prefix":"10.61409","author":[{"given":"Mette","family":"Toftager","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Kelstrup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth R.","family":"Mathiesen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjana","family":"Cihoric","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Line","family":"Thellesen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"40208","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"ref0","unstructured":"Dansk Selskab for Obstetrik og Gyn\u00e6kologi, Dansk Endokrinologisk Selskab. Pr\u00e6eksisterende diabetes og graviditet, revideret version 2025. https:\/\/static1.squarespace.com\/static\/5467abcce4b056d72594db79\/t\/696759aa1ef4e07e30c93b01\/1768380842517\/Godkendt+Faelles+NBV+uden+track+changes+D+iabetes+og+graviditet+Revision+2025.pdf (2. mar 2026)"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Stathi D, Lee FN, Dhar M et al. Diabetic ketoacidosis in pregnancy: a systematic review of the reported cases. Clin Med Insights Endocrinol Diabetes. 2025;18:11795514241312849. https:\/\/doi.org\/10.1177\/11795514241312849","DOI":"10.1177\/11795514241312849"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Diguisto C, Strachan MWJ, Churchill D et al. Diabetic ketoacidosis in pregnancy: incidence, aetiology, management and outcomes. Diabet Med. 2022;39(4):e14743. https:\/\/doi.org\/10.1111\/dme.14743","DOI":"10.1111\/dme.14743"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Jarvis PRE. Euglycemic diabetic ketoacidosis: a potential pitfall for the emergency physician. Clin Exp Emerg Med. 2023;10(1):110-113. https:\/\/doi.org\/10.15441\/ceem.22.410","DOI":"10.15441\/ceem.22.410"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Cozzi-Glaser GD, Davis AM, Bell M, Battarbee AN. Pregnancy outcomes following diabetic ketoacidosis: a systematic review. Am J Obstet Gynecol MFM. 2025;7(8):101711. https:\/\/doi.org\/10.1016\/j.ajogmf.2025.101711","DOI":"10.1016\/j.ajogmf.2025.101711"}],"container-title":["Ugeskrift for L\u00e6ger"],"original-title":[],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T08:18:04Z","timestamp":1786695484000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/videnskab\/V12251038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":5,"URL":"https:\/\/doi.org\/10.61409\/v12251038","relation":{},"ISSN":["0041-5782","1603-6824"],"issn-type":[{"value":"0041-5782","type":"print"},{"value":"1603-6824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]}}}