Successful pregnancy in a woman with lipoatrophic diabetes mellitus: A case report

A. N. Morse, M. D. Whitaker

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

BACKGROUND: Lipoatrophic diabetes mellitus is a rare insulin-resistance syndrome. A successful pregnancy occurred in a woman with lipoatrophic diabetes with no antepartum or intrapartum complications except hypertriglyceridemia, treated with gemfibrozil. CASE: A 29-year-old primigravida had lipoatrophic diabetes most consistent with congenital partial lipodystrophy (Kobberling-Dunnigan syndrome). The antenatal course was remarkable only for a midtrimester rise in serum triglycerides. The patient underwent oxytocin induction and an uncomplicated vaginal delivery. CONCLUSION: This case demonstrates that women with lipoatrophic diabetes who are otherwise healthy should not be discouraged from trying to conceive. Blood lipids should be checked periodically and hypertriglyceridemia treated to prevent pancreatitis. Gemfibrozil was used in this patient without apparent adverse effects.

Original languageEnglish (US)
Pages (from-to)850-852
Number of pages3
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume45
Issue number10
StatePublished - Nov 18 2000

Keywords

  • Diabetes mellitus
  • Gemfibrozil
  • Lipoatrophic diabetes
  • Lipodystrophy
  • Pregnancy complications

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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