Type 1 Diabetes: Management in Women From Preconception to Postpartum.

Abstract

CONTEXT:

This review presents an up-to-date summary on management of type 1 diabetes mellitus (T1DM) among women of reproductive age and covers the following time periods: preconception, gestation, and postpartum.

EVIDENCE ACQUISITION:

A systematic search and review of the literature for randomized controlled trials and other studies evaluating management of T1DM before pregnancy, during pregnancy, and postpartum was performed.

EVIDENCE SYNTHESIS:

Preconception planning should begin early in the reproductive years for young women with T1DM. Preconception and during pregnancy, it is recommended to have near-normal glucose values to prevent adverse maternal and neonatal outcomes, including fetal demise, congenital anomaly, pre-eclampsia, macrosomia, neonatal respiratory distress, neonatal hyperbilirubinemia, and neonatal hypoglycemia.

CONCLUSION:

Women with T1DM can have healthy, safe pregnancies with preconception planning, optimal glycemic control, and multidisciplinary care.

• Authors: Elizabeth O Buschur, Sarit Polsky
• Journal: The Journal of clinical endocrinology and metabolism (J Clin Endocrinol Metab) Vol. 106 Issue 4 Pg. 952-967 (03 25 2021) ISSN: 1945-7197 [Electronic] United States
• PMID: 33331893 (Publication Type: Journal Article, Systematic Review)
• Copyright: © The Author(s) 2020. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: [email protected].

Topics

• Adult
• Diabetes Mellitus, Type 1 (epidemiology, therapy)
• Female
• Humans
• Infant, Newborn
• Postnatal Care (methods, standards)
• Postpartum Period (physiology)
• Preconception Care (methods, standards)
• Pregnancy
• Pregnancy Outcome (epidemiology)
• Pregnancy in Diabetics (epidemiology, therapy)
• Prenatal Care (methods, standards)
• Young Adult