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[Functional insulin therapy and pregnancy]

¹Klinische Abtellung für Endokrinologie und Stoffwechsel, Universitäts-klinik für Innere Medizin III, Wien.

Wiener Medizinische Wochenschrift (1946)

|January 1, 1997

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Optimal management of pregnant women with type-I diabetes mellitus (T1DM) in specialized centers ensures good outcomes. Achieving near-normal blood glucose control with functional insulin therapy minimizes maternal and fetal risks, similar to healthy pregnancies.

Area of Science:

Obstetrics and Gynecology
Endocrinology
Neonatology

Background:

Type-I diabetes in pregnancy presents unique challenges for maternal and fetal health.
Specialized care centers are crucial for managing pregnant individuals with T1DM.
Pre-existing diabetic complications significantly increase pregnancy risks.

Purpose of the Study:

To outline the essential components of optimal care for pregnant women with T1DM.
To emphasize the importance of multidisciplinary collaboration for managing T1DM pregnancies.
To highlight strategies for achieving "near-normoglycemic" control during pregnancy.

Main Methods:

Functional insulin therapy using a basal-bolus regimen.
Frequent self-monitoring of blood glucose (more than 6 times daily).

Related Experiment Videos

Close collaboration between obstetricians, diabetologists, and neonatologists.

Main Results:

Optimal preconceptional control and guidance lead to maternal and fetal risks comparable to healthy pregnancies.
Near-normoglycemic control is achievable with intensive insulin management and frequent glucose monitoring.
Non-compliance and severe diabetic complications identify high-risk pregnancies.

Conclusions:

Pregnant women with T1DM require management in experienced diabetes centers with multidisciplinary teams.
Intensive insulin therapy and frequent glucose monitoring are key to successful pregnancy outcomes.
Preconceptional counseling and specialized care are mandatory for high-risk T1DM pregnancies.