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Management of type 2 diabetes in pregnancy: a narrative review

Lore Raets1, Anne Ingelbrecht2, Katrien Benhalima1

  • 1Department of Endocrinology, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium.

Frontiers in Endocrinology
|August 7, 2023
PubMed

The prevalence of type 2 diabetes (T2DM) at reproductive age is rising. Women with T2DM have a similarly high risk for pregnancy complications as pregnant women with type 1 diabetes. To reduce adverse pregnancy and neonatal outcomes, such as preeclampsia and preterm delivery, a multi-target approach is necessary. Tight glycemic control together with appropriate gestational weight gain, lifestyle measures, and if necessary, antihypertensive treatment and low-dose aspirin is advised. This narrative review discusses the latest evidence on preconception care, management of diabetes-related complications, lifestyle counselling, recommendations on gestational weight gain, pharmacologic treatment and early postpartum management of T2DM.

Keywords:
managementperipartumpostpartum Frans (standard)preconceptionpregnancytype 2 diabetes mellitus

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