Type 2 Diabetes in Pregnancy.

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.

authors

Kapur A,McIntyre HD,Hod M

doi

10.1016/j.ecl.2019.05.009

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

511-531

issue

3

eissn

0889-8529

issn

1558-4410

pii

S0889-8529(19)30038-6

journal_volume

48

pub_type

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