pregestational diabetes in pregnancy - Whites Classification of Diabetes in Pregnancy teh insulin untuk diabetes Class A Diet alone any duration or onset age Class B Onset age 20 years or older and duration less than 10 years Class C Onset age 1019 years or duration 1019 years Class D Onset age younger than 10 years duration over 20 years background retinopathy or hypertension not Pregestational preexisting diabetes mellitus Obstetric UpToDate Abstract Pregestational diabetes mellitus represents one of the most challenging medical complications of pregnancy because of the need for frequent monitoring and adjustment of medications as well as the potential for maternal and fetal complications This document provides an overview of the current understanding of pregestational diabetes ACOG Practice Bulletin No 201 Pregestational Diabetes Mellitus Management of preexisting diabetes in pregnancy will be reviewed in detail including up to date medications and diabetes technologies Postpartum issues including changes in insulin sensitivity breastfeeding and contraception for women with preexisting diabetes will be discussed Pregestational diabetes and obesity have been identified as Preconception counseling of women with pregestational diabetes should be encouraged as it is costeffective and beneficial Level B Baby aspirin 81 mg supplementation is recommended Reduce associated risk of preeclampsia Preeclampsia is seen in 1520 of diabetic women without nephropathy and 50 of those with nephropathy 14 Management of Diabetes in Pregnancy Pregestational Diabetes Mellitus Endotext NCBI Bookshelf Pregestational Diabetes and Family Planning PMC ABSTRACT Pregestational diabetes mellitus represents one of the most challenging medical complications of pregnancy because of the need for frequent monitoring and adjustment of medications as well as the potential for maternal and fetal complications This document provides an overview of the current understanding of pregestational diabetes mellitus and suggests management guidelines during Management of preexisting firmax3 untuk diabetes diabetes in pregnancy A Review 15 Management of Diabetes in Pregnancy 1416 Insulin should be used for management of type 1 diabetes in pregnancy A Insulin is the preferred agent for the management of type 2 diabetes in pregnancy E 1417 Either multiple daily injections or insulin pump technology can be used in pregnancy complicated by type 1 diabetes C Pregestational Diabetes Mellitus ACOG PDF Pregestational Diabetes in Pregnancy University of Utah ACOG Guidance on Perinatal Management of Pregestational Diabetes Pregestational diabetes is a condition in which a woman with diabetes most commonly type 1 or type 2 diabetes before the onset of pregnancy becomes pregnant and therefore vulnerable to increased risk for maternal and fetal adverse outcomes Pregestational diabetes has been observed in 12 of all pregnancies but rates are rising 1 Importance The presence of preexisting type 1 or type 2 diabetes in pregnancy increases the risk of adverse maternal and neonatal outcomes such as preeclampsia caesarian section preterm delivery macrosomia and congenital defects Approximately 09 of the 4000000 births in the United States are complicated by preexisting diabetes There are opportunities to educate all adults and adolescents with diabetes and reproductive potential about the risks of unplanned pregnancies and about improved maternal and fetal outcomes with pregnancy planning Effective preconception counseling could avert substantial health and associated cost burdens in offspring Family planning should be discussed including the benefits of long INTRODUCTION The key elements in management of pregnancies affected by pregestational also called preexisting diabetes are Excellent glucose management Monitoring for maternal medical complications and comorbidities eg retinopathy nephropathy hypertension cardiovascular disease thyroid disease as well as obstetric complications eg nausea and how control diabetes vomiting of pregnancy preeclampsia
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