PMID: 8949587Sep 1, 1996Paper

The management of diabetes in pregnancy

Postgraduate Medical Journal
D R Hadden

Abstract

The aim of the diabetes specialist is to provide a service to the pregnant diabetic woman so that she will present to her obstetrician with such well-controlled plasma glucose levels that her pregnancy will proceed without any diabetes-related problem, and she will be delivered of a normal baby, of normal size, at the normal full-term gestation, by the normal route. There are some problems in achieving this aim. The exact definition of hyperglycaemia in pregnancy is still a matter of dispute. Screening methods to identify the problem differ widely. Many centres have developed joint diabetes/antenatal clinics, but there are practical problems with such an approach. Pre-pregnancy counselling, and discussion of contraceptive measures is an important task for the diabetologist and requires up-to-date knowledge. Control of plasma glucose requires alteration of insulin doses as pregnancy proceeds. Mothers with retinal, renal or cardiac problems will need special care. The medical problems which develop, and the management of blood glucose during labour and delivery, mean that the diabetes team must be very adjacent to the obstetric service, and a centralised approach offers many advantages. The postpartum state, and the long-term out...Continue Reading

References

Oct 11, 1992·Teratology·R A MartinK Benirschke
Aug 1, 1991·Diabetic Medicine : a Journal of the British Diabetic Association·M O McBrideD R Hadden
Jun 1, 1990·Diabetic Medicine : a Journal of the British Diabetic Association·A S AndersonH W Sutherland
Jan 1, 1990·Diabetes Care·B E KleinR Klein
Apr 1, 1989·Diabetologia·D R McCanceL Kennedy
Dec 1, 1988·American Journal of Obstetrics and Gynecology·O Langer, R Mazze
Dec 1, 1986·The Quarterly Journal of Medicine·M SmallA C MacCuish
Oct 1, 1987·British Journal of Obstetrics and Gynaecology·A I TraubD R Hadden
Sep 1, 1965·Acta Endocrinologica·J Pedersen, L M Pedersen
Jan 1, 1984·British Journal of Obstetrics and Gynaecology·J H PriceJ M Harley
Jul 31, 1982·British Medical Journal·J M SteelL J Duncan
Mar 1, 1983·Preventive Medicine·J L MillsB F Polk
Dec 1, 1982·American Journal of Obstetrics and Gynecology·M W Carpenter, D R Coustan
Jun 1, 1994·Diabetic Medicine : a Journal of the British Diabetic Association·C Nelson-Piercy, E A Gale
Nov 1, 1964·Diabetes·G C KYLEB CARRUTHERS

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Citations

Feb 16, 2000·Current Opinion in Obstetrics & Gynecology·D R Hadden, D R McCance
Mar 15, 2015·QJM : Monthly Journal of the Association of Physicians·A M EganF P Dunne
Jun 9, 2016·The Cochrane Database of Systematic Reviews·Diane FarrarHelen M West
Aug 2, 2020·Mayo Clinic Proceedings·Aoife M EganAdrian Vella

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