Diabetes in Pregnancy - Type 1/Type 2 Diabetes Mellitus and Gestational Diabetes Mellitus

被引:6
|
作者
Kleinwechter, Helmut [1 ]
Demandt, Norbert [2 ]
机构
[1] Diabetologikum Kiel, Diabetol DDG, Innere Med Diabetol, Schwerpunkt Schwangeren Betreuung, Kiel, Germany
[2] Diabetologikum Kiel, Med Diabetol, Diabetol DDG, Hypertensiol DHL, Kiel, Germany
关键词
RANDOMIZED-TRIAL; GLYCEMIC CONTROL; INSULIN DETEMIR; WOMEN; OUTCOMES; MANAGEMENT; METFORMIN; HYPOGLYCEMIA; PREVENTION; DIAGNOSIS;
D O I
10.1055/s-0042-110555
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In Germany in 5.5% of all births diabetes is registered. In patients with type 1 and type 2 diabetes planning pregnancy, preconception counseling, diabetologic care with optimized periconceptional metabolic control and folic acid supplementation are essential for good pregnancy outcome. Gestational diabetes (GDM) should be diagnosed timely and managed according to existing guidelines. GDM is treated with insulin in approximately 20%. In 1-2% of GDM cases a glucokinase gene mutation is present (MODY 2). Pregnancies after bariatric-metabolic surgery are increasing and show high risks.
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页码:1296 / +
页数:10
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