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| Topic: |
diabetes (dm) |
| Title: |
Managing Preexisting Diabetes for Pregnancy: Summary of Evidence And Consensus Recommendations for Care. |
| Author: |
Kitzmiller, J.L., et al. |
| Source: |
Diabetes Care. 31(5): 1060-1079. May 2008. |
| Abstract: |
This article presents consensus panel recommendations for the medical care of pregnant women with preexisting diabetes, including type 1 and type 2 diabetes. The document is designed to help clinicians deal with the broad spectrum of problems that arise in the management of diabetes before and during pregnancy, and to prepare women with diabetes for treatment that may reduce complications in the years after pregnancy. Guidelines are presented in two sections. The first section addresses managing preexisting diabetes for pregnancy, including the organization of preconception and pregnancy care, initial evaluation, glycemic control, perinatal outcome and glycemic goals, assessment of metabolic control, medical nutrition therapy, insulin therapy, oral antihyperglycemic agents for type 2 diabetes, physical activity and exercise, and behavioral therapy. The second section covers the management of diabetes complications, including diabetic ketoacidosis (DKA), maternal hypoglycemia, thyroid disorders, management of cardiovascular risk factors, screening for cardiovascular disease (CVD), hypertension, diabetic nephropathy, diabetic retinopathy, and diabetic neuropathies. Practical suggestions, including recommended laboratory values and goals, are highlighted. The recommendations for diagnostic and therapeutic actions are based on a grading system adapted by the American Diabetes Association that was used to clarify and codify the research evidence available. |
| Format: |
Journal Article |
| Language: |
English. |
| Major Keywords: |
Diabetes Mellitus. Pregnancy. Type 1 Diabetes. Type 2 Diabetes. Prenatal Care. Guidelines. Diagnosis. Patient Care Management. Therapy. Complications. Prevention. |
| Minor Keywords: |
Blood Glycose. Fetus. Medical Nutrition Therapy. Insulin. Drug Therapy. Anti-Diabetes Agents. Exercise. Behavior Modification. Ketoacidosis. Hypoglycemia. Hyperglycemia. Hypertension. Cardiovascular Diseases. |
| Publication Number: |
DMJA13387 |
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