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Diabetes crisis in pregnancy: a case report
Mary P McCaffrey1, Tracy L Keith, Janice L Lazear
1University of Maryland Medical Center, Baltimore, MD 21201, USA. mmccaffrey@umm.edu
The Journal of Perinatal & Neonatal Nursing
|May 29, 2009
Summary
Poorly controlled type 1 diabetes in pregnancy can lead to severe hypoglycemia. This case highlights the significant risks and challenges for both mother and baby when diabetes management is poor before conception.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Neonatal Medicine
Background:
- Achieving optimal maternal, fetal, and neonatal outcomes is paramount in managing pregnancies complicated by pre-existing diabetes.
- Women with a history of poorly managed diabetes face increased challenges entering pregnancy due to pre-existing metabolic deficits.
Observation:
- This case study details a pregnant woman with a history of poorly controlled type 1 diabetes.
- She experienced a severe hypoglycemic event during her pregnancy.
Findings:
- The severe hypoglycemia resulted in significant adverse sequelae.
- This underscores the critical impact of glycemic control prior to and during pregnancy.
Implications:
- Highlights the need for intensive pre-conception counseling and management for women with type 1 diabetes.
- Emphasizes the importance of vigilant monitoring and management of diabetes in pregnancy to prevent severe complications.
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