Type 2 diabetes in pregnancy: an increasing problem

Temple, Rosemary and Murphy, Helen (2010) Type 2 diabetes in pregnancy: an increasing problem. Best Practice and Research: Clinical Endocrinology & Metabolism, 24 (4). pp. 591-603. ISSN 1521-690X

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Abstract

The worldwide epidemic in type 2 diabetes has been associated with an increased diagnosis in young adults. This has lead to a rapid rise in the number of pregnancies complicated by type 2 diabetes. Studies have shown risk of serious adverse outcome, including congenital malformation and perinatal mortality, is the same, or increased, in type 2 diabetes compared to type 1 diabetes. Despite improved glycaemic control in type 2 diabetes compared to type 1 diabetes, rates of perinatal morbidity, including preterm birth and macrosomia, appear to be similar. Risk factors associated with poor pregnancy outcome in women with type 2 diabetes include obesity, ethnicity and poor pregnancy preparation. This review will cover practical aspects of management of type 2 diabetes before, during and after pregnancy, including prepregnancy care, safety of oral hypoglycaemic agents, glycaemic management during labour, and choice of effective contraception.

Item Type: Article
Additional Information: 2009. Published by Elsevier Ltd.
Uncontrolled Keywords: type 2 diabetes,prepregnancy care,preconception,obesity,malformation,perinatal mortality
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 25 May 2016 16:01
Last Modified: 22 Apr 2020 01:26
URI: https://ueaeprints.uea.ac.uk/id/eprint/59069
DOI: 10.1016/j.beem.2010.05.011

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