Back to Search
Start Over
Type 2 Diabetes in Pregnancy.
- Source :
-
Endocrinology and metabolism clinics of North America [Endocrinol Metab Clin North Am] 2019 Sep; Vol. 48 (3), pp. 511-531. Date of Electronic Publication: 2019 Jun 26. - Publication Year :
- 2019
-
Abstract
- Hyperglycemia is common during pregnancy, involving multisystem adaptations. Pregnancy-induced metabolic changes increase insulin resistance. Pregnancy-induced insulin resistance adds to preexisting insulin resistance. Preexisting pancreatic β-cell defect compromises the ability to enhance insulin secretion, leading to hyperglycemia. Women with type 2 DM have similar rates of major congenital malformations, stillbirth, and neonatal mortality, but an even higher risk of perinatal mortality. In utero type 2 DM exposure confers greater risk and reduces time to development of type 2 DM in offspring. Preconception care to improve metabolic control in women with type 2 diabetes is critical.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Congenital Abnormalities blood
Congenital Abnormalities epidemiology
Congenital Abnormalities etiology
Congenital Abnormalities prevention & control
Female
Glycated Hemoglobin analysis
Humans
Preconception Care methods
Pregnancy
Pregnancy Outcome epidemiology
Prenatal Exposure Delayed Effects blood
Prenatal Exposure Delayed Effects diagnosis
Prenatal Exposure Delayed Effects prevention & control
Diabetes Mellitus, Type 2 blood
Diabetes Mellitus, Type 2 epidemiology
Diabetes Mellitus, Type 2 therapy
Pregnancy in Diabetics blood
Pregnancy in Diabetics epidemiology
Pregnancy in Diabetics therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1558-4410
- Volume :
- 48
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Endocrinology and metabolism clinics of North America
- Publication Type :
- Academic Journal
- Accession number :
- 31345520
- Full Text :
- https://doi.org/10.1016/j.ecl.2019.05.009