Discover and read the best of Twitter Threads about #COVIDinPregnancy
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Interestingly, I don't think they are entirely the same entity, so here is a mini-tweetorial on my thoughts about #COVID and #ketosis:
⭐️COVID has been associated with significant ketosis in non-pregnant pts
⭐️Not all COVID+ 🤰have the ⬇️oral intake seen in SK
1/5
⭐️COVID has been associated with significant ketosis in non-pregnant pts
⭐️Not all COVID+ 🤰have the ⬇️oral intake seen in SK
1/5
⭐️Glucose is often normal / a bit high (rather than low/normal seen in SK)
⭐️Does not respond to glucose supplementation alone, often insulin needed, often higher doses than you would normally expect (fixed rate may be required)
But why worry?
2/5
⭐️Does not respond to glucose supplementation alone, often insulin needed, often higher doses than you would normally expect (fixed rate may be required)
But why worry?
2/5
😱The associated acidosis / tachypnea may be mistaken for worsening COVID➡️potential increase in treatment and/or delivery
😟The compensation for acidosis may be lost if sedated/intubated ➡️ worsening in biochemistry when pt already sick
So the lesson here?
3/5
😟The compensation for acidosis may be lost if sedated/intubated ➡️ worsening in biochemistry when pt already sick
So the lesson here?
3/5
