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 2. The rate of change in insulin dosage beginning 14 days before delivery, using the formula (“insulin dosage at delivery”– “insulin dosage 14 days before delivery”)÷14. The vertical axis shows the rate of change in insulin dosage and the horizontal axis shows the case number. A positive change in ratio of insulin dosage indicated that insulin usage increased close to delivery. In contrast, a negative change meant a decrease in the amount of insulin used. The patients in Cases 24 and 28 were presumed to have hemolysis, elevated liver enzymes, and low platelet syndrome and their rates of change are indicated.

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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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