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ea0032p224 | Clinical case reports – Pituitary/Adrenal | ECE2013

Antepartum pituitary insufficiency in type 1 diabetes

Balasuriya Chandima N D , Fougner Stine Lyngvi , Bjorgaas Marit Rokne

Introduction: Postpartum necrosis of the anterior pituitary gland is well-described, but antepartum pituitary insufficiency (API) is reported only in a few women with type 1 diabetes (T1D). API has an abrupt onset and may have fatal outcome.Case report: A 36-year-old woman with T1D and laser-treated retinopathy became pregnant after repeated IVF. In gestational week (GW) 10, she used insulin 34–42 U/day, HbA1c was 6.2% and cortisol (0800 h)...