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We have described a case of eclampsia in a young diabetic primipara whose diabetes had begun 2 years before pregnancy. Prophylactic treatment along the lines laid down by Tweedy did not prevent the onset of fits. Fifteen fits occurred within eleven hours before the patient was delivered in coma of a dead twelve pound infant, whose death we attribute to the unusual difficulty encountered in delivery. The patient herself made a very rapid and uneventful recovery after delivery.