Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Improving pregnancy outcomes in women with diabetes mellitus: modern management

Publikation: Bidrag til tidsskriftReviewForskningpeer review

DOI

  1. From conception to infancy - early risk factors for childhood obesity

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Physical activity and muscle-brain crosstalk

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Glucagon-like peptide 1 in health and disease

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. Chronic endocrine consequences of traumatic brain injury - what is the evidence?

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  1. Diabetes Management During Breastfeeding in Women with Type 1 Diabetes

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Lactation Duration and Long-term Risk for Incident Type 2 Diabetes in Women With a History of Gestational Diabetes Mellitus

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Gestational Diabetes Risk in Migrants. A Nationwide, Register-Based Study of all Births in Denmark 2004 to 2015

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Women with pre-existing (type 1 or type 2) diabetes mellitus are at increased risk of pregnancy complications, such as congenital malformations, preeclampsia and preterm delivery, compared with women who do not have diabetes mellitus. Approximately half of pregnancies in women with pre-existing diabetes mellitus are complicated by fetal overgrowth, which results in infants who are overweight at birth and at risk of birth trauma and, later in life, the metabolic syndrome, cardiovascular disease and type 2 diabetes mellitus. Strict glycaemic control with appropriate diet, use of insulin and, if necessary, antihypertensive treatment is the cornerstone of diabetes mellitus management to prevent pregnancy complications. New technology for managing diabetes mellitus is evolving and is changing the management of these conditions in pregnancy. For instance, in Europe, most women with pre-existing diabetes mellitus are treated with insulin analogues before and during pregnancy. Furthermore, many women are on insulin pumps during pregnancy, and the use of continuous glucose monitoring is becoming more frequent. In addition, smartphone application technology is a promising educational tool for pregnant women with diabetes mellitus and their caregivers. This Review covers how modern diabetes mellitus management with appropriate diet, insulin and antihypertensive treatment in patients with pre-existing diabetes mellitus can contribute to reducing the risk of pregnancy complications such as congenital malformations, fetal overgrowth, preeclampsia and preterm delivery.

OriginalsprogEngelsk
TidsskriftNature reviews. Endocrinology
Vol/bind15
Sider (fra-til)406-416
Antal sider11
ISSN1759-5029
DOI
StatusUdgivet - 4 apr. 2019

ID: 57063610