PMID: 11903394Mar 21, 2002Paper

When and how to start insulin treatment in gestational diabetes: a UK perspective

Diabetic Medicine : a Journal of the British Diabetic Association
D R Hadden

Abstract

Gestational diabetes mellitus, however currently defined, is relatively rare in a UK Caucasian population, but is much more common in other ethnic groups. There is likely soon to be better agreement on diagnostic levels of hyperglycaemia in pregnancy, but there is still considerable reluctance to start insulin therapy. There is now good evidence that insulin administered twice daily during the third trimester to mothers who have even a mild degree of hyperglycaemia will reduce fetal size, and in particular fetal adiposity. In relation to recent concepts of the transgenerational passage of Type 2 diabetes and obesity, further epidemiological investigation is required. Insulin treatment in pregnancy may also prove to have a role in prevention of Type 2 diabetes in the next generation.

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Citations

May 8, 2002·Diabetes/metabolism Research and Reviews
Sep 28, 2005·The Pharmacogenomics Journal·T OrtA Eisen
Jan 11, 2007·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Tracey L WeissgerberMichelle F Mottola
Apr 10, 2003·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·R Preece, L Jovanovic
May 16, 2014·Canadian Journal of Diabetes·David ThompsonChristina Vinokuroff
Jun 23, 2012·Midwifery·Elizabeth StenhouseNicole Stephen
May 20, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·U M Schaefer-GrafK Vetter
Feb 13, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·D L Singh, M D Bhattarai
Nov 20, 2002·Expert Opinion on Pharmacotherapy·Charles J GlueckPing Wang
Dec 23, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G LarcipreteD Arduini

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