A primigravida at 10 weeks with ove diabetes on insulin has been hospitalised for ketoacidosis. Which could have been the most probable cause for her ketoacidosis?
Diabetic ketoacidosis in a pregnant diabetic patient may occur as a result of Hyperemesis gravidarum Use of sympathomimetic drugs for tocolysis Infections Use of coicosteroids to induce fetal lung maturation. Non compliance with Insulin Therapy Since patient is in her first trimester and there is no history suggestive of infection in the question, hyperemesis would be the answer of choice here. Pancreatitis causing Ketoacidosis ( Called 'Kabadi' Syndrome ) is seen in 15 % cases of Acute Pancreatitis... not the likely cause here.
Infection
Hyperemesis gravidarum
Not taking regular folic acid
Pancreatitis
Vomiting in pregnancy