Early diabetes treatment is associated with improved outcomes in pregnant women with a first antenatal HbA1c of 41–46 mmol/mol

Author(s):  
Janet A. Rowan ◽  
Lynn Sadler
2009 ◽  
Vol 12 (4) ◽  
pp. 32-36
Author(s):  
Irina Yur'evna Demidova ◽  
Natalya Yur'evna Arbatskaya ◽  
Elena Petrovna Mel'nikova

The main causes behind decompensation of diabetes mellitus (DM) in pregnant women are consid-ered, such as metabolic and hormonal disturbancesinfluencing insulin requirement in different periods of pregnancy and variability of glycemia related to pharmacokinetic and pharmacodynamicproperties of insu-lin preparations. Recommended target levels of glycemia in pregnant women with DM are cited. The fre-quencyof self-monitoring blood glucose and principles of intensive insulin therapy are discussed. Advan-tages of continuous subcutaneous insulin infusionand its role in the maintenance of stable control of car-bohydrate metabolism during pregnancy are discussed.


2022 ◽  
Vol 226 (1) ◽  
pp. S42
Author(s):  
Christopher A. Enakpene ◽  
Micaela Della Torre ◽  
Laura DiGiovanni ◽  
Martha Wojtowycz ◽  
Abida Hasan ◽  
...  

2014 ◽  
Vol 21 (4) ◽  
pp. 829-841 ◽  
Author(s):  
James T. Thackeray ◽  
Robert A. deKemp ◽  
Rob S. Beanlands ◽  
Jean N. DaSilva

Author(s):  
. Leelavathi ◽  
Nayana D. H. ◽  
Triveni Kondareddy ◽  
Kaytri S.

Background: SLE is an autoimmune disease most frequently found in women of child bearing age and may co­exist with pregnancy. Its multisystem involvement and therapeutic interventions pose a high risk for both the mother and the foetus. Disease flares in pregnancy pose challenges with respect to distinguishing physiologic changes related to pregnancy from disease related manifestations. The present study analyzes the fetomaternal outcome of pregnant women with SLE.Methods: An analysis of fetomaternal outcome of pregnant women with SLE during April  2015 to May 2016 at JSS hospital.Results: During the period from April 2016 to May 2016, 3773 deliveries were conducted in the department. Eleven pregnant women with SLE were followed up during this period, giving an incidence of 0.29/1000 deliveries. A high rate of lupus flare during pregnancy was found in the current study. Even among women in remission for more than six months before pregnancy, the rate of lupus flare was not low (27%). Also other complications seen were pre-eclampsia 54.54%, HELLP syndrome in 9.09% , PPH in 50%, polyserositis seen in 9.09% and one maternal death was seen (9.09%). No neonate suffered from heart-blocker however there was 75 % NICU admissions among live borns.Conclusions: Advancing technology and better understanding of the maternal-foetal relationship in lupus have improved outcomes in lupus pregnancies over the last decade. The multisystem nature of the disease, the severity of the organ involvement needs to be assessed and a multidisciplinary approach is required for its diagnosis and successful management.


2020 ◽  
Vol 37 (11) ◽  
pp. 1956-1958
Author(s):  
J. Stanik ◽  
L. Barak ◽  
A. Dankovcikova ◽  
T. Valkovicova ◽  
M. Skopkova ◽  
...  

2003 ◽  
Vol 9 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Mario R. Maldonado, MD ◽  
Susana D'Amico, MD ◽  
Lucille Rodriguez, LVN ◽  
Dinakar Iyer, PhD ◽  
Ashok Balasubramanyam, MD

2020 ◽  
Author(s):  
Grażyna Iwanowicz-Palus ◽  
Marta Zarajczyk ◽  
Agnieszka Bień

Abstract Background: The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia.Methods: The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire.Results: Factors associated with quality of life in women with hyperglycemia include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05).The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors associated with illness acceptance in women with hyperglycemia include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05).Conclusion: Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains. General Quality of Life is positively correlated with reported living conditions and self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations. AIS is positively correlated with living conditions, self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations, and self-reported knowledge on possible pregnancy complications and infant health impact associated with glucose tolerance disorders.


2012 ◽  
Vol 204 (5) ◽  
pp. 803-804 ◽  
Author(s):  
David W. Wright ◽  
Donald G. Stein ◽  
Iqbal Sayeed ◽  
Fang Hua ◽  
Fahim Atif ◽  
...  

2012 ◽  
Vol 49 (6) ◽  
pp. 429-433 ◽  
Author(s):  
Concetta Suraci ◽  
Franca Mulas ◽  
Maria Chiara Rossi ◽  
Sandro Gentile ◽  
Carlo Bruno Giorda

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