PMID: 9645826Jun 30, 1998Paper

Factors influencing preconception control of glycemia in diabetic women

Archives of Internal Medicine
H L Casele, S A Laifer

Abstract

Although periconceptional glycemic control directly impacts perinatal outcome for pregestational diabetic women, these women still frequently enter pregnancy with suboptimal control of glycemia. To determine how frequently diabetic women enter pregnancy with suboptimal glycemic control and to identify factors associated with not achieving optimal periconceptual control of glycemia. Pregestational diabetic women (n = 55) who attended the Maternal Fetal Medicine Faculty Practice or the Resident Medical Complications Obstetric Clinic, Magee Women's Hospital, Pittsburgh, Pa, were administered a brief questionnaire pertaining to periconceptional education and control of glycemia. Levels of periconceptional hemoglobin A1c, were measured in all patients. Sixty-one percent of pregestational diabetic women presented for prenatal care with suboptimal control of their blood glucose levels (hemoglobin A1c measurement, >0.08). Of the 55 diabetic women who participated in the questionnaire, 47 (86%) were under the care of a physician for their diabetes, 45 (82%) monitored their glucose level at least 3 times per day, 34 (60%) stated that they had been advised to plan a pregnancy, and 29 (53%) stated that they had planned their pregnancies. W...Continue Reading

Citations

Jun 1, 2005·Seminars in Fetal & Neonatal Medicine·Gillian Hawthorne
Jan 18, 2003·Primary Care·Joshua H Barash, Lara Carson Weinstein
Jul 2, 2009·Human Reproduction Update·I CetinS Calabrese
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Jul 6, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·R Kachoria, R Oza-Frank
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Jan 28, 2006·The Diabetes Educator·Brenda Michel, Denise Charron-Prochownik
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May 5, 2016·The Cochrane Database of Systematic Reviews·Philippa MiddletonLucy Simmonds
Feb 26, 2016·Diabetes Spectrum : a Publication of the American Diabetes Association·Caroline M Grady, Pamela A Geller

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