Ali HMA-E, Syeda N. Diabetic ketoacidosis in pregnancy. BMJ Case Rep. 2023;16(2):e254084.

Google Scholar 

Algaly G, Abdelrahman A, Ahmed SMI. Euglycemic diabetic ketoacidosis in a pregnant woman. J Am Coll Emerg Physicians Open. 2023;4(6):e13089.

PubMed  PubMed Central  Google Scholar 

Dhanasekaran M, Mohan S, Egan AM. Editors’s Pick: Diabetic ketoacidosis in pregnancy: an overview of pathophysiology, management, and pregnancy outcomes. EMJ Diabet Diabetes. 2022.

Yedjou CG, Sims JN, Njiki S, Chitoh AM, Joseph M, Cherkos AS et al. Health and racial disparities in diabetes mellitus prevalence, management, policies, and outcomes in the United States. J Community Med Public Health. 2024;8(3).

Walker RJ, Smalls BL, Campbell JA, Williams JLS, Egede LE. Impact of social determinants of health on outcomes for type 2 diabetes: a systematic review. Endocrine. 2014;47(1).

Weinick RM, Byron SC, Bierman AS. Disparities in diabetes care: role of the patient’s socio-demographic characteristics. BMC Public Health. 2010;10:607.

Google Scholar 

Sibai BM, Viteri OA. Diabetic ketoacidosis in pregnancy. Obstet Gynecol. 2014;123(1).

Nyenwe EA, Kitabchi AE. The evolution of diabetic ketoacidosis: an update of its etiology, pathogenesis and management. Metabolism. 2016;65(4).

Spencer NR, Clark SM, Harirah HM. Management of diabetic ketoacidosis in pregnancy. Clin Obstet Gynecol. 2023;66(1):186–95.

PubMed  Google Scholar 

Barski L, Eshkoli T, Brandstaetter E, Jotkowitz A. Euglycemic diabetic ketoacidosis. Eur J Intern Med. 2019;63:9–14.

PubMed  Google Scholar 

Diguisto C, Strachan MWJ, Churchill D, Ayman G, Knight M. A study of diabetic ketoacidosis in the pregnant population in the united kingdom: investigating the incidence, aetiology, management and outcomes. Diabet Med. 2022;39(4).

•Grasch JL, Lammers S, Scaglia Drusini F, Vickery SS, Venkatesh KK, Thung S, et al. Clinical presentation and outcomes of diabetic ketoacidosis in pregnancy. Obstet Gynecol. 2024;144(5):590–8.

PubMed  Google Scholar 

Coetzee A, Hall DR, van de Langenegger EJ, Conradie M. Pregnancy and diabetic ketoacidosis: fetal jeopardy and windows of opportunity. Front Clin Diabetes Healthc. 2023;4:1266017.

PubMed  PubMed Central  Google Scholar 

Dhanasekaran M, Mohan S, Erickson D, Shah P, Szymanski L, Adrian V, et al. Diabetic ketoacidosis in pregnancy: clinical risk factors, presentation, and outcomes. J Clin Endocrinol Metab. 2022;107(11):3137–43.

PubMed  PubMed Central  Google Scholar 

•Umpierrez GE, Davis GM, ElSayed NA, Fadini GP, Galindo RJ, Hirsch IB et al. Hyperglycemic crises in adults with diabetes: a consensus report. Diabetes Care. 2024;47(8).

Eshkoli T, Barski L, Faingelernt Y, Jotkowitz A, Finkel-Oron A, Schwarzfuchs D. Diabetic ketoacidosis in pregnancy - case series, pathophysiology, and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2022;269:41–6.

CAS  PubMed  Google Scholar 

Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7).

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics. ACOG practice bulletin 201: pregestational diabetes mellitus. Obstet Gynecol. 2018;132(6):e228–48.

Google Scholar 

Stathi D, Lee FN, Dhar M, Bobotis S, Arsenaki E, Agrawal T, et al. Diabetic ketoacidosis in pregnancy: a systematic review of the reported cases. Clin Med Insights Endocrinol Diabetes. 2025;18:11795514241312849.

PubMed  PubMed Central  Google Scholar 

Robinson HL, Barrett HL, Foxcroft K, Callaway LK, Nitert MD. Prevalence of maternal urinary ketones in pregnancy in overweight and obese women. Obstetric Med. 2017;11(2).

Laffel L. Ketone bodies: a review of physiology, pathophysiology and application of monitoring to diabetes. Diab/Metab Res Rev. 1999;15(6).

Fenves AZ, Emmett M. Approach to patients with high anion gap metabolic acidosis: core curriculum 2021. Am J Kidney Dis. 2021;78(4).

Cao S, Cao S. Diabetic ketoalkalosis: a common yet easily overlooked alkalemic variant of diabetic ketoacidosis associated with mixed acid-base disorders. J Emerg Med. 2023;64(3).

Immadisetty SK, Patange AP. Comparison of blood gas and acid–base measurement in arterial and venous blood samples in patients with diabetic ketoacidosis. Biomed Pharmacol. 2022;15.

Brandenburg M, Dire D. Comparison of arterial and venous blood gas values in the initial emergency department evaluation of patients with diabetic ketoacidosis - PubMed. Ann Emerg Med. 1998;31(4).

Patel MP, Ahmed A, Gunapalan T, Hesselbacher SE. Use of sodium bicarbonate and blood gas monitoring in diabetic ketoacidosis: a review. World J Diabetes. 2018;9(11).

Barski L, Golbets E, Jotkowitz A, Schwarzfuchs D. Management of diabetic ketoacidosis. Eur J Intern Med. 2023;117:38–44.

CAS  PubMed  Google Scholar 

Self WH, Evans CS, Jenkins CA, Browne RM, Collins JD, Czech SP, et al. Clinical effects of balanced crystalloids vs saline in adults with diabetic ketoacidosis: a subgroup analysis of cluster randomized clinical trials. JAMA Netw Open. 2020;3(11):e2024596.

PubMed  PubMed Central  Google Scholar 

•Jamison A, Mohamed A, Chedester C, Klindworth K, Hamarshi M, Sembroski E. Lactated Ringer’s versus normal saline in the management of acute diabetic ketoacidosis (RINSE-DKA). Pharmacotherapy: J Hum Pharmacol Drug Therapy. 2024;44(8).

Eledrisi MS, Elzouki A-N. Management of diabetic ketoacidosis in adults: a narrative review. Saudi J Med Med Sci. 2020;8(3).

Dhatariya KK, Glaser NS, Codner E, Umpierrez GE, Dhatariya KK, Glaser NS et al. Diabetic ketoacidosis. Nat Reviews Disease Primers. 2020;6(1).

Hirsch IB, Emmett M. Diabetic ketoacidosis in adults: Treatment. UptoDate. 2025.

Dhatariya KK, Joint British Diabetes Society for Inpatient Care. The management of diabetic ketoacidosis in adults—an updated guideline from the joint British diabetes society for inpatient care. Diabet Med. 2022;39(6):e14788.

PubMed  Google Scholar 

American Diabetes Association Professional Practice Committee. 16. Diabetes care in the hospital: standards of medical care in diabetes—2022. Diabetes Care. 2022;45(Suppl 1):S244–S253.

Wen T, Friedman AM, Gyamfi-Bannerman C, Powe CE, Sobhani NC, Ramos GA, et al. Diabetic ketoacidosis and adverse outcomes among pregnant individuals with pregestational diabetes in the United States, 2010–2020. Obstet Gynecol. 2024;144(5):579–89.

CAS  PubMed  Google Scholar 

Morrison FJ, Movassaghian M, Seely EW, Curran A, Shubina M, Morton-Eggleston E et al. Fetal outcomes after diabetic ketoacidosis during pregnancy. Diabetes Care. 2017;40(7).

Gyamfi-Bannerman C, Thom EA, Blackwell SC, Tita ATN, Reddy UM, Saade GR et al. Antenatal betamethasone for women at risk for late preterm delivery. N Engl J Med. 2016;374(14).

Mohan M, Baagar KAM, Lindow S. Management of diabetic ketoacidosis in pregnancy. Obstetrician Gynaecologist. 2017;19(1).

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics. Screening for gestational and pregestational diabetes mellitus in pregnancy and postpartum. Obstet Gynecol. 2024;144(1):e20–4.

Google Scholar 

Hameed AB, Combs CA. Society for maternal-fetal medicine special statement: updated checklist for antepartum care of pregestational diabetes mellitus. Am J Obstet Gynecol. 2020;223(5).

Laffel L, Sick-Day M. In type 1 diabetes. Endocrinol Metab Clin North Am. 2000;29(4).