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Type 1 Diabetes in Pregnancy: A Review of Complications and Management by Mohammed S.B. Huda; Farah Jaffar; Kate Laycock is a Medicine article available to read on EtoBox.

What is Type 1 Diabetes in Pregnancy: A Review of Complications and Management about?

Background: Pre-gestational diabetes can pose significant risk to the mother and infant, thus requiring careful counselling and management. Since Saint Vincent’s declaration in 1989, adverse maternal and fetal outcomes, such as preeclampsia, perinatal mortality, congenital anomalies, and macrosomia, continue to be associated with type 1 diabetes. Although pregnancy is not considered an independent risk factor for the development of new onset microvascular complications, it is known to exacerbate pre-existing microvascular disease. Strict glycaemic control is the optimal management for pre-existing type 1 diabetes in pregnancy, as raised HbA1C is associated with increased risk of maternal and fetal complications. More recently, time in range on Continuous Glucose Monitoring glucose profiles has emerged as another useful evidence-based marker of fetal outcomes. Objective: This review summarises the complications associated with pre-gestational type 1 diabetes, appropriate evidence-based management, including preparing for pregnancy, intrapartum and postpartum care. Methods: A structured search of the PubMed and Cochrane databases was conducted. Peer-reviewed articles about complicati

Who reads Type 1 Diabetes in Pregnancy: A Review of Complications and Management?

Author

Mohammed S.B. Huda; Farah Jaffar; Kate Laycock

Publisher

Bentham Science Publishers Ltd.

Published

2022

Language

EN

Field

Medicine (Health Sciences)