Conclusion:
Despite normal blood glucose levels, it is important to suspect ketoacidosis in a pregnant patient with acidosis. Urinary ketones should be monitored in any diabetic patient during periods of illness. Our case highlights the diagnostic and therapeutic challenges associated with euglycemic DKa and its associated complications. Fetal death is one of the mainstays of treatment, early detection and timely administration of fluids, carbohydrates and insulin.