BACKGROUND Diabetic retinopathy prevalence at baseline Diabetic retinopathy, a microvascular complication of diabetes, remains a leading cause of acquired blindness in young and middle-aged adults.1 Currently, the estimated general population…
CASE HISTORY A 39-year-old woman presented to her physician with a 6-month history of polyuria, nocturia, 5 lb (2.3 kg) weight loss and vaginal itch. She was overweight at 168…
BACKGROUND Diabetic pregnancy continues to present a substantial risk for both mother and baby.1–4 Much of this risk occurs at the time of labor and delivery. This book has highlighted…
PRACTICE POINTS Diabetic ketoacidosis (DKA) is a very serious complication of pregnancy that threatens the mother’s life and the health and viability of the fetus. DKA only occurs in situations…
Related posts: Diagnosis of hyperglycemia in pregnancy 5 Delivery and postdelivery care Insulin regimens in pregnancy Screening for hyperglycemia in pregnancy Diabetic management in labor, delivery, and post delivery Retinopathy…
BACKGROUND Historically, the study of diabetes in pregnancy has focused on either women with Type 1 diabetes, whose poor obstetric outcomes once led to an editorial entitled “They give birth…
BACKGROUND Diabetic nephropathy during pregnancy has been defined as a total urinary protein excretion of greater than or equal to 300 mg/24 h measured prior to pregnancy or greater than…
BACKGROUND Prepregnancy care for women with diabetes was introduced over 30 years ago and is associated with improved pregnancy outcomes. However, overall pregnancy out-comes remain very poor for women with…
BACKGROUND Historically, pregnancy in women with diabetes is associated with high perinatal morbidity and mortality. The fetal and neonatal complications include increased risk of congenital malformations, miscarriage, preterm delivery, stillbirth,…
BACKGROUND The questions posed in the case history have been addressed in several studies. Not all studies have reached the same conclusions about the same issue. Some have questioned the…
