Gestational diabetes insipidus during a twin pregnancy

Gestational diabetes insipidus is an uncommon clinical disease whose prevalence is approximately two to three pregnancies per 100,000. It may be isolated or associated with preeclampsia. We report a case of gestational diabetes insipidus in a twin pregnancy, originally isolated during two months, an...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2013-02, Vol.32 (2), p.118
Main Authors: De Mesmay, M, Rigouzzo, A, Bui, T, Louvet, N, Constant, I
Format: Article
Language:fre
Subjects:
Adult
Anesthesia, Obstetrical
Blood Glucose - metabolism
Cesarean Section
Deamino Arginine Vasopressin - therapeutic use
Diabetes Insipidus - therapy
Diabetes, Gestational - therapy
Female
HELLP Syndrome - therapy
Humans
Hypoglycemic Agents - therapeutic use
Infant, Newborn
Pregnancy
Pregnancy, Twin
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Summary:Gestational diabetes insipidus is an uncommon clinical disease whose prevalence is approximately two to three pregnancies per 100,000. It may be isolated or associated with preeclampsia. We report a case of gestational diabetes insipidus in a twin pregnancy, originally isolated during two months, and secondarily complicated by HELLP-syndrome. We recall the specific pathophysiology of polyuric-polydipsic syndrome during pregnancy and summarize its various causes. Finally, we discuss the indications, in case of isolated gestational diabetes insipidus, of treatment by dDAVP.
ISSN:1769-6623
DOI:10.1016/j.annfar.2012.12.008