The International Journal of Romanian Society of Endocrinology / Registered in 1938

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October - December 2022, Volume 18, Issue 4
Notes & Comments

Hekimsoy Z, Eniseler EB, Erdem N, Ozdemir N

Catamenial Diabetic Ketoacidosis

Acta Endo (Buc) 2022, 18 (4): 538-540
doi: 10.4183/aeb.2022.538

Diabetic ketoacidosis (DKA) is a common medical emergency situation. In rare cases, glycemic changes associated with the menstrual cycle may create a predisposing factor for DKA. In the absence of facilitating factors that may cause DKA, catamenial DKA should be considered. In the patients with catamenial DKA, increasing the insulin dose 1-2 days before menstruation may prevent the development of hyperglycemia or DKA associated with menstrual cycle. In this study, we present a 21-year-old female with type 1 diabetes mellitus (DM) that recurrently applied to our hospital due to DKA a few days prior to menstrual bleeding.

Keywords: catamenial, diabetic ketoacidosis, menstruation.

Correspondence: Nilufer Ozdemir MD, Celal Bayar University Faculty of Medicine, Endocrinology, Celal Bayar University Faculty of Medicine Division of Endocrinology and Metabolism, Manisa, 45125, Turkey, E-mail: