[Coma diabeticum and intrauterine fetal death. Therapeutic considerations on hand of a clinical case (author's transl)].

We report about a thirty year old woman in the 34th week of pregnancy, who was hospitalized with ketoacid coma diabeticum. The intrauterine death of the fetus was diagnostisized. Neither the pathological glucose tolerance nor the metabolic disorder had been previously recognized. In the patient history though we find concrete signs of a possible pathological glucose tolerance. We describe our therapy of the coma. In the following we discuss the frequency of carbohydrate metabolism disorders in pregnant women and screening methods for diabets.