PURPOSE: To review preconceptional counseling and management of pregnancy in patients with pregestational and gestational diabetes. EPIDEMIOLOGY: In the United States, approximately 4% to 6% of all pregnant women have diabetes. Among them, 12% have type 1 or type 2 diabetes; 88% experience gestational diabetes. REVIEW SUMMARY: Although historically diabetes during pregnancy heralded poor outcomes for mother and infant, today most patients can enjoy normal outcomes when adequate glycemic control is achieved. However, management of these patients is clinically challenging and must be individualized. This article reviews the management of type 1, type 2, and gestational diabetes, including preconceptional counseling and postpartum care. TYPE OF AVAILABLE EVIDENCE: Nationally recognized consensus guidelines, patient surveys, randomized-controlled trials, expert opinion. GRADE OF AVAILABLE EVIDENCE: Poor to good. CONCLUSION: Women with diabetes who are aggressively managed and treated can enjoy normal, healthy pregnancies. Frequent blood glucose monitoring and physician contact allow for individualized care to achieve optimal outcomes. Evolving technologies promise to provide more therapeutic options.
|Original language||English (US)|
|Number of pages||10|
|Journal||Advanced Studies in Medicine|
|State||Published - Jul 1 2006|
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