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After fetal demise, she developed disturbance of consciousness. Laboratory examinations showed hyperglycemia, ketoacidosis, low urinary C-peptide concentration, an almost normal HbA1c level, undetectable diabetesrelated autoantibodies, and high serum pancreatic amylase. These findings indicated fulminant type 1 diabetes mellitus. Hyperamylasemia and diffuse swelling of the pancreas associated with peri-pancreatic effusion on computed tomography indicated severe acute pancreatitis. After intensive therapy by infusion of fluid, insulin and nafamostat, she recovered and was discharged with insulin supplementation. 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