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Improving outcomes through early diagnosis and care in diabetes during pregnancy: are we doing enough?
Annunziata Lapolla1, Elisabetta Torlone2
1Department of Medicine, University of Padova, Padova, Italy.
Introduction:
The prevalence of preexisting type 1 and type 2 diabetes in pregnancy continues to rise, with women with type 2 facing adverse maternal and fetal outcomes comparable to those with type 1. Despite international guidelines emphasizing a comprehensive, multi-targeted approach to ensure safe pregnancy outcomes, pregnancy-related complications remain substantially elevated in this population.
Areas Covered:
This perspective article examines critical issues in the management of diabetes during pregnancy, identifying key barriers and evidence-based strategies to optimize suitable care. A search of the medical literature was performed, giving priority to randomized controlled trials (RCT), systematic reviews and meta-analyses. By analyzing the current evidence, we address fundamental challenges in preconception counseling, metabolic control optimization and pharmacological management.
Expert Opinion:
The knowledge of these critical points is essential to improving maternal and neonatal outcomes and to reducing predictable complications in pregnant women with preexisting diabetes.
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