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Antenatal management of pregnancy complicated by diabetes

Shabeen Naz Masood1, Yasir Masood2, Uzma Naim3

  • 1Department Obstetrics and Gynaecology, ATMCH, ISRA University, Karachi-Campus, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|September 2, 2016
PubMed

The prevalance of Gestational Diabetes Mellitus (GDM) is increasing worldwide. It is estimated that 21 million women develop gestational diabetes out of which 1 in 7 births are affected. Women who have been previously diagnosed as GDM are at higher risk of developing diabetes in subsequent pregnancies and Type 2 Diabetes Mellitus (T2DM) later in life. Babies born to mothers with gestational diabetes also have a higher risk of developing type 2 diabetes in their teens or early adulthood. Instead of risk stratification universal screening is essential in all pregnant women. Tight glycaemic targets are required for optimal maternal and foetal outcome. This article outlines the importance of pre-pregnancy counseling, antenatal management, screening and treatment of Hyperglycaemia in Pregnancy (HIP).

Keywords:
Pre-Pregnancy Counseling, Antenatal Care, Gestational Diabetes Mellitus, Blood Glucose Screening, Type 2 Diabetes, Lifestyle & Diet in Pregnancy.

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