Diabetic ketoacidosis following steroid treatment in a patient with gestational diabetes mellitus

Abstract

In addition, metabolic changes inpregnancy increase the risk of DKA.These include insulin resistancecaused by increased circulating levels of hormones including prog-esterone, oestrogen, cortisol andhuman placental lactogen in thecontext of reduced buffering capacity due to decreased bloodbicarbonate levels secondary to res-piratory alkalosis in pregnancy.