Abstract:
:Hyperglycemia is common during pregnancy, involving multisystem adaptations. Pregnancy-induced metabolic changes increase insulin resistance. Pregnancy-induced insulin resistance adds to preexisting insulin resistance. Preexisting pancreatic β-cell defect compromises the ability to enhance insulin secretion, leading to hyperglycemia. Women with type 2 DM have similar rates of major congenital malformations, stillbirth, and neonatal mortality, but an even higher risk of perinatal mortality. In utero type 2 DM exposure confers greater risk and reduces time to development of type 2 DM in offspring. Preconception care to improve metabolic control in women with type 2 diabetes is critical.
journal_name
Endocrinol Metab Clin North Amjournal_title
Endocrinology and metabolism clinics of North Americaauthors
Kapur A,McIntyre HD,Hod Mdoi
10.1016/j.ecl.2019.05.009subject
Has Abstractpub_date
2019-09-01 00:00:00pages
511-531issue
3eissn
0889-8529issn
1558-4410pii
S0889-8529(19)30038-6journal_volume
48pub_type
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journal_title:Endocrinology and metabolism clinics of North America
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