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An overview of the management of diabetes from preconception, during pregnancy and in the postnatal period.
- Source :
-
Clinical Medicine . Sep2019, Vol. 19 Issue 5, p399-402. 4p. - Publication Year :
- 2019
-
Abstract
- Diabetes is one of the most common medical conditions complicating pregnancy. Both pre-existing diabetes and gestational diabetes are associated with increased risks to the mother and fetus. These risks can be reduced by improving pre-conception and antenatal care. Pre-conception planning and care is important to ensure women are taking high dose folic acid, to optimise glucose control, to review medications and to screen for and manage any complications. All women with either pre-existing diabetes or gestational diabetes should be reviewed by the antenatal team every 1-2 weeks throughout pregnancy. This is to optimise glucose control and to monitor fetal growth and development. Women with diabetes in pregnancy should receive an individualised care plan for delivery. The exact timing of delivery will depend on maternal glucose control, fetal growth and any other complications. Women diagnosed with gestational diabetes in pregnancy are at high risk of developing both gestational diabetes and type 2 diabetes in the future. After delivery, they should be offered a fasting plasma glucose at 6 weeks or a glycated haemoglobin (HbA1c) at 13 weeks to ensure that the gestational diabetes has resolved and an annual HbA1c. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIABETES prevention
*DIABETES risk factors
*TYPE 2 diabetes risk factors
*HYPOGLYCEMIC agents
*FASTING
*GESTATIONAL diabetes
*FOLIC acid
*GLYCOSYLATED hemoglobin
*MATERNAL health services
*MEDICAL screening
*PRECONCEPTION care
*PRENATAL care
*PRENATAL diagnosis
*FETAL development
*CONTINUING education units
*INDIVIDUALIZED medicine
*GLYCEMIC control
*DISEASE risk factors
PREGNANCY complication risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 14702118
- Volume :
- 19
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Clinical Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 138669951
- Full Text :
- https://doi.org/10.7861/clinmed.2018-0288