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.