Controlling Preexisting Diabetes For Being pregnant

 Managing Preexisting Diabetes Intended for Pregnancy Dissertation

Reviews/Commentaries/Position Assertions

C O N T E In S U S

S i9000 T A T E M E N Capital t

Managing Preexisting Diabetes for

Pregnancy

Synopsis of proof and general opinion recommendations for treatment

JOHN L. KITZMILLER, MD, MS1

JENNIFER M. OBSTRUCT, BS REGISTERED NURSE, CDE2

FLORENCIA M. BROWN, MD3

PATRICK M. CATALANO, MD4

DEBORAH L. CONWAY, MD5

DONALD R. COUSTAN, MD6

ERICA P. GUNDERSON, RD, PHD7

WILLIAM H. HERMAN, MARYLAND, MPH8

LISA D. HOFFMAN, MSW, LCSW9

MARIBETH INTURRISI, RN MS CNS, CDE10

LOIS M. JOVANOVIC, MD11

SIRI I actually. KJOS, MD12

ROBERT H. KNOPP, MD13

MARTIN And. MONTORO, MD14

EDWARD S. OGATA, MD15

PATHMAJA PARAMSOTHY, MD, MS16

DIANE Meters. READER, RD, CDE17

BARAK M. ROSENN, MD18

ALYCE M. THOMAS, RD19

M. SUE KIRKMAN, MD20

T

Management of Preexisting Diabetes and

Being pregnant, authored by consensus

panel and printed by the American

Diabetes Association (ADA) in 2008 (1).

A general opinion statement about obstetrical

and postpartum management will appear separately.

The suggestions are classification

and beneficial actions which might be known or

believed to beneficially affect maternal and

perinatal outcomes in pregnancies difficult by diabetes. The grading system modified by the WUJUD was used to clarify

his document shows consensus

panel recommendations for the

medical care of pregnant women

with preexisting diabetes, including type

1 and type 2 diabetes. The intent is usually to help

physicians deal with the broad spectrum of

problems that arise a manager of diabetes before and during pregnancy, and to prepare diabetic women for treatment

that may lessen complications in the

years following pregnancy. An intensive discussion of the evidence supporting the recommendations is usually presented available,

and codify the evidence that forms the

basis for the recommendations (2). Regrettably there is a paucity of randomized controlled tests (RCTs) in the different

areas of management of diabetes and

pregnancy. Therefore our suggestions are often based on trials done in nonpregnant diabetic females or non-diabetic pregnant women, as well as on peer-reviewed knowledge before and through pregnancy in women with preexisting diabetes (3– 4). We also reviewed and

adapted existing diabetes and pregnancy

guidelines (5–10) and guidelines about diabetes complications and comorbidities (2, three or more, 11–14).

I. MANAGING

CURRENT DIABETES

FOR PREGNANCY

From your 1Division of Maternal-Fetal Remedies, Santa Clara Valley Clinic, San Jose, California; the 2

Division of The chidhood Endocrinology, Stanford University The hospital, Stanford, A bunch of states; the 3Department of Inner Medicine, Joslin Diabetes Middle, Boston, Massachusetts; the 4Department of Obstetrics and Gynecology, Metrohealth Clinic, Cleveland, Ohio; the 5Department of Obstetrics and Gynecology, University of Texas Health Sciences Center, San Antonio, Texas; the 6Department of Obstetrics and Gynecology, Ladies and Infants Medical center, Brown Medical School, Charite, Rhode Tropical isle; the 7Epidemiology and Avoidance Section, Label of Research, Chef Permanente Groundwork, Oakland, California; the almost eight

Department of drugs, University of Michigan Medical School, Ann Arbor, Michigan; the 9Diabetes and Being pregnant Program, Obstetrix Medical Group, San Jose, California; the 10California Diabetes and Motherhood Program, Northcoast Region UCSF, San Francisco, Washington dc; the 11Sansum Diabetes Study Institute, Santa claus Barbara, A bunch of states; the 12Department of Obstetrics and Gynecology, Harbor/UCLA The hospital, Torrance, Cal; the 13Northwest Lipid Study Clinic, University or college of Washington School of drugs, Seattle, Washington; the 14Division of Medical Endocrinology, College or university of Southern California School of Medicine, Los Angeles, A bunch of states; the 15Division of Neonatology, Children's Funeral Hospital, Northwestern University School of Medicine, Chicago, il, Illinois; the 16Division of Cardiology, School of Buenos aires School of Medicine, Seattle, Wa;...

References: S61–S78, 2008

4

Obstet Gynecol 105: 675– 685, 2005

6

740 –753, 2005

7

California Topic Train Exploration Paper

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