Current status of pregnancy in diabetic women. A comparison of pregnancy in IDDM and NIDDM mothers

Omori, Yasue; Minei, Satomi; Testuo, Tamaki; Nemoto, K; Shimizu, Meimi; Sanaka, Mayumi

doi:10.1016/0168-8227(94)90261-5

Cited by 48 publications

(38 citation statements)

References 2 publications

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“…The risk of progression of diabetic retinopathy in women with type 2 diabetes in the current study seems to be lower than in women with type 1 diabetes [15]. However, since sight-threatening deterioration of diabetic retinopathy occurred in one pregnant women with type 2 diabetes in the current study and in a woman with type 2 diabetes described by us in a previous cohort [4], as well as in a Japanese study of women with type 2 diabetes [2], the risk of progression cannot be ignored.…”

Section: Discussioncontrasting

confidence: 39%

“…In a large Japanese study, the prevalence of diabetic retinopathy in pregnant women with type 2 diabetes was 28%, with 2% receiving laser treatment during pregnancy [2]. In another study, diabetic retinopathy in pregnant women with type 2 diabetes was described briefly, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…The risk of progression of diabetic retinopathy during pregnancy is generally regarded to be similar for type 1 and type 2 diabetic patients, but data supporting this assumption are few. The prevalence and progression of diabetic retinopathy in pregnancy complicated by type 2 diabetes have hardly been investigated hitherto [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Progression of diabetic retinopathy during pregnancy in women with type 2 diabetes

et al. 2010

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Aims/hypothesis We studied the progression of diabetic retinopathy during pregnancy in women with type 2 diabetes. Methods Fundus photography was performed at median 10 (range 6-21) and 28 (27-37) gestational weeks in 80 of 110 (73%) consecutively referred pregnant women with type 2 diabetes. Diabetic retinopathy was classified in five stages.Progression was defined as at least one stage of deterioration of diabetic retinopathy and/or development of macular oedema on at least one eye between the two examinations. Macular oedema was defined as retinal thickening and/or hard exudates within a diameter of 1,500 µm in the macula area. Results Diabetic retinopathy, mainly mild, was present in 11 (14%) women in early pregnancy. Median duration of diabetes was 3 years (range 0-16 years). At baseline, HbA 1c was 6.4% (1.0) (mean [SD]), systolic BP 121 (13) and diastolic BP 72 (9) mmHg. Prior to pregnancy, 22 (28%) women had been on insulin treatment. During pregnancy 74 women (93%) were treated with insulin and 11 (14%) with antihypertensive medication. Progression of diabetic retinopathy was observed in 11 (14%) women. Progression was mainly mild, but one woman with poor glycaemic control and uncontrolled hypertension progressed from mild retinopathy to sight-threatening retinopathy with proliferations, clinically significant macular oedema and impaired vision in both eyes. Progression of diabetic retinopathy was associated with a longer duration of diabetes (p=0.03) and insulin treatment before pregnancy (p=0.004). Conclusions/interpretation Despite a low risk of progression of retinopathy in pregnant women with type 2 diabetes, sight-threatening deterioration did occur.

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Section: Discussioncontrasting

confidence: 39%

Section: Introductionmentioning

confidence: 99%

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Progression of diabetic retinopathy during pregnancy in women with type 2 diabetes

et al. 2010

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“…The review of existing data on the determinants of perinatal outcome in diabetic pregnancies concluded that metabolic control during gestation is more important than duration of diabetes [25]. Maternal mortality of diabetic pregnancies followed the same pattern as perinatal mortality [20,21,24,26].…”

Section: Discussionmentioning

confidence: 96%

Incidence trends in childhood onset IDDM in four countries around the Baltic sea during 1983-1992

Padaiga

Tuomilehto²,

Karvonen³

et al. 1997

Diabetologia

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Incidence of childhood insulin-dependent diabetes mellitus (IDDM) is rising in many areas of the world [1,2]. Despite the role of HLA genetics in the aetiology of IDDM being well known [3,4] the role of putative environmental factors is not yet understood [5][6][7]. Epidemiologically based standardized surveillance systems provide information on the pattern of IDDM incidence which make comparison of IDDM incidence between countries within close geographical areas possible, thus offering an "indirect" way to trace potential environmental factors in the aetiology of IDDM. A collaborative study on the childhood IDDM incidence in countries around the Baltic Sea was started in 1989 named "DIABALT". Short-term data have demonstrated a wide variation in the incidence of IDDM between countries around the Baltic Sea [8,9], from the highest incidence in the world in Finland to one of the lowest within Europe in Poland. In order to obtain more standardized rates for comparison of secular trends in incidence of IDDM in Finland, Estonia, Latvia and Lithuania the analyses of the data were carried out for the period 1983 to 1992. Subjects and methodsGeographically the Baltic States of Estonia, Latvia and Lithuania are located on the south-east coast, while Finland is on the northern coast of the Baltic Sea. Genetically and culturally, the population of Finland is homogeneous [10], while Estonia Diabetologia (1997) 40: 187-192 Incidence trends in childhood onset IDDM in four countries around the Baltic sea during 1983-1992 Summary We present secular trends of childhood onset insulin-dependent diabetes mellitus (IDDM) in Finland, Estonia, Latvia and Lithuania during the period of [1983][1984][1985][1986][1987][1988][1989][1990][1991][1992]. Incidence data were obtained from the national IDDM registries. The average agestandardized incidence per 100 000/year was 35.0 in Finland, followed by 10.2 in Estonia, 7.1 in Lithuania and 6.5 in Latvia. A male excess in incidence was recorded in Finland (1.15) and Latvia (1.01). In all countries, the highest age-specific risk of IDDM was observed in the 11-13 year age range. The large difference in incidence between Finland and other Baltic countries was seen even in 1-2-year-old children. During the 10-year study period overall changes in incidence of IDDM were relatively small in these four countries. The incidence increased in Finland and Lithuania on average by 1 % and 1.4 % per year, respectively. A statistically significant increase was recorded only in 0-4 year old children in Finland, at 5.6 % per year. In Estonia, an 8.3 % increase in this age group, however, was not statistically significant. The different trends in the age-group specific incidence rates were confirmed in Finland. In conclusion, from 1983 to 1992 the incidence of childhood onset IDDM was increasing in Finland and Lithuania, while in Latvia and Estonia it was stable. There are still great differences in IDDM incidence between the countries around the

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“…of women with type 2 DM in pregnancy exceeds that of women with type 1 DM [3]; for example, a study in Japan reported that 67% of pregnant diabetic women had type 2 DM [4]. Glycemic disturbances are usually less severe in pregnant women with type 2 DM than in those with type 1 diabetes; therefore, type 2 DM is often perceived as a less serious condition.…”

mentioning

confidence: 99%

Pregnancy outcomes in women with type 1 and type 2 diabetes mellitus in a retrospective multi-institutional study in Japan

et al. 2014

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Current status of pregnancy in diabetic women. A comparison of pregnancy in IDDM and NIDDM mothers

Cited by 48 publications

References 2 publications

Progression of diabetic retinopathy during pregnancy in women with type 2 diabetes

Progression of diabetic retinopathy during pregnancy in women with type 2 diabetes

Incidence trends in childhood onset IDDM in four countries around the Baltic sea during 1983-1992

Pregnancy outcomes in women with type 1 and type 2 diabetes mellitus in a retrospective multi-institutional study in Japan

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