Gestational Diabetes Mellitus Complicated by Hemolysis, Elevated Liver Enzymes, and Low Platelet Count After Decreased Need for Insulin: 2 Cases

Yoshimasa Kawarai; Shogo Kaneko; Masataka Kagimoto; Ayaka Kaneko; Naoki Ichii; Kaoru Kakinuma; Koyomi Saito; Motomasa Ihara; Toshiyuki Kakinuma; Michitaka Ohwada; Hirokazu Tanaka

doi:10.12659/AJCR.933460

08 November 2021 : Case report Japan

Gestational Diabetes Mellitus Complicated by Hemolysis, Elevated Liver Enzymes, and Low Platelet Count After Decreased Need for Insulin: 2 Cases

Unusual clinical course, Diagnostic / therapeutic accidents

Yoshimasa Kawarai^12ABCDEF*, Shogo Kaneko^3B, Masataka Kagimoto^2B, Ayaka Kaneko^2B, Naoki Ichii^2B, Kaoru Kakinuma^2B, Koyomi Saito^2B, Motomasa Ihara^12B, Toshiyuki Kakinuma^2B, Michitaka Ohwada^2B, Hirokazu Tanaka^12BDF

DOI: 10.12659/AJCR.933460

Am J Case Rep 2021; 22:e933460

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Figure 1. Changes in insulin dosage in all 30 cases. The horizontal axis shows the gestational weeks and the vertical axis shows the insulin dosage (U/day). Data from 2 patients (Cases 24 and 28) suspected of developing – hemolysis, elevated liver enzymes, and low platelet syndrome/acute fatty liver of pregnancy are presented.

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Gestational Diabetes Mellitus Complicated by Hemolysis, Elevated Liver Enzymes, and Low Platelet Count After Decreased Need for Insulin: 2 Cases

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