What's new in the management of type 1 diabetes in pregnancy?

Lee, Tara ORCID: https://orcid.org/0000-0001-6591-6421 and Murphy, Helen (2022) What's new in the management of type 1 diabetes in pregnancy? British Journal of Hospital Medicine, 83 (12). pp. 1-10. ISSN 1750-8460

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Abstract

Type 1 diabetes in pregnancy is associated with an increased risk of complications for both mother and fetus. However, managing glycaemia during pregnancy to reduce these risks is challenging, owing to changes in insulin resistance with advancing gestation, as well as increased daily variation in insulin pharmacokinetics. These factors can add significant psychological and daily self-care burden to mothers during what may already be an anxious time. Increasingly, diabetes technologies are being used during pregnancy to improve and facilitate diabetes self-care. While these can be empowering for people with type 1 diabetes, careful consideration is required in relation to how and when these can be continued safely in the inpatient setting (including acute antenatal admissions, labour and delivery) and when extra support is required from adequately trained healthcare professionals. This article describes current forms of diabetes technologies used and the latest national guidance relating to the care of type 1 diabetes in pregnancy.

Item Type: Article
Uncontrolled Keywords: antenatal hospital admissions,closed-loop,continuous glucose monitoring,diabetes technology,diabetic ketoacidosis,pregnancy,type 1 diabetes,medicine(all),sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Cardiovascular and Metabolic Health
Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health
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Depositing User: LivePure Connector
Date Deposited: 14 Apr 2023 09:30
Last Modified: 19 Oct 2023 03:35
URI: https://ueaeprints.uea.ac.uk/id/eprint/91764
DOI: 10.12968/hmed.2022.0412

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