Gestational Diabetes and Type 2 Diabetes During Pregnancy

Mukerji, Geetha; Bacon, Sioban; Feig, Denice S.

doi:10.1016/b978-0-12-814823-5.00022-2

Cited by 6 publications

(9 citation statements)

References 117 publications

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“…The important issues for the obstetricians in charge of patients with T2DM during pregnancy are the timing and type of delivery. The factors influencing this decision include, but are not limited to, fetal size, the presence of medical comorbidities, and placental insufficiency 16 . T2DM in pregnancy, per se, is associated with uteroplacental malperfusion, which can be presented as placental infarction, vasculopathy in deciduas, and earlier maturation of villi 17 .…”

Section: Introductionmentioning

confidence: 99%

“…The adequate timing and mode of delivery aim to reduce the rates of intrauterine death, which are higher among women with T2DM compared to women with other types of diabetes in pregnancy and healthy populations. Consequently, the most common timing for delivery of infants of mothers with T2DM is between 37+0 and 38+6 weeks, compared to the usually targeted timing of 40 weeks among women with GDM 16 .…”

Section: Introductionmentioning

confidence: 99%

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Revisiting type II diabetes mellitus in pregnancy and pregnancy outcomes such as in thyroidology: do you mind?

Todorović

Dugalić

Şengül

et al. 2023

Rev. Assoc. Med. Bras.

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OBJECTIVE:There is an increase in the prevalence of pre-gestational diabetes in the past decades, mainly due to the increase in the prevalence of obesity in the general population and consequently type 2 diabetes among women of reproductive age. METHODS: This study purposed to describe the delivery characteristics, pregnancy complications, and outcomes among women in Serbia with the pre-gestational type 2 diabetes in the past decade, as well as their pregnancy complications, deliveries, and neonatal outcomes. The study included data from all the pregnant women with pre-gestational type 2 diabetes in Belgrade, Serbia during the period between 2010 and 2020. The final sample consisted of 138 patients. RESULTS: More than half, i.e., 70 (50.7%) had a vaginal delivery, while 48 (34.8%) had elective and 20 (14.5%) had emergency caesarean sections. Throughout the period, there was 1 patient with preeclampsia (0.7%), 5 with pregnancy-induced hypertension (3.6%), 7 had newborns with small for gestational age (5.1%), 28 with macrosomia (20.3%), 12 (8.7%) had preterm births, and one-fifth, i.e., 28 (20.3%) of the newborns had Apgar score under 8. CONCLUSION: The present study revealed that women with type 2 diabetes in pregnancy have a significant burden of pregnancy complications, related to pregnancy, delivery, and newborns.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Revisiting type II diabetes mellitus in pregnancy and pregnancy outcomes such as in thyroidology: do you mind?

Todorović

Dugalić

Şengül

et al. 2023

Rev. Assoc. Med. Bras.

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“…Diagnosis is confirmed by two or more of: a fasting PG 5.3–6.9 mmol/L, 1-H PG ≥ 10.0 mmol/L, a 2-H PG 8.6–11.0 mmol/L, and a 3-H PG 7.8–11.0 mmol/L [ 9 ]. However, screening methods and diagnostic criteria have varied across years and governing bodies [ 10 ]. This has led to varying prevalence estimates and uncertainty for patients who may not have received GDM diagnosis in previous years[ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Diabetes risk status and physical activity in pregnancy: U.S. BRFSS 2011, 2013, 2015, 2017

Rand

Johnson

Ehrlich

et al. 2020

BMC Pregnancy Childbirth

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Background Pregnant women without complications are advised to engage in physical activity (PA) to mitigate adverse outcomes. Differences may exist among pregnant women of diverging diabetes status in meeting national PA recommendations. We sought to examine differences in aerobic activity (AA) and muscle strengthening activity (MSA) by diabetes risk status (DRS) among pregnant women in the United States. Methods The sample (n = 9,597) included pregnant women, age 18–44 years, who participated in the 2011, 2013, 2015, and 2017 Behavioral Risk Factor Surveillance System. Levels of DRS include: no diabetes (ND), high risk for diabetes (HRD) due to self-reported gestational diabetes or pre-diabetes, and overt diabetes due to self-reported, clinically diagnosed diabetes (DM). Odds ratios (ORs) and 95% confidence intervals (CI) for meeting PA recommendations were obtained. Covariates included age, race, education, household child count, alcohol consumption, and smoking status. Results Findings revealed that on average, DM had 46.5 fewer minutes of weekly AA compared to ND. Furthermore, a significantly lower OR (0.39; CI 0.19–0.82) for meeting both recommendations was observed in DM as compared to ND after adjustment. Conclusions We observed that pregnant women with overt diabetes had a lower odds of engaging in PA, while those at high risk were similar in their PA engagement to ND. Future studies aimed at assessing determinants of PA behavior may help guide efforts to promote exercise in pregnant women with diabetes.

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“…Diagnosis is con rmed by two or more of: a fasting PG 5.3-6.9 mmol/L, 1-H PG ≥10.0 mmol/L, a 2-H PG 8.6-11.0 mmol/L, and a 3-H PG 7.8-11.0 mmol/L (9). However, screening methods and diagnostic criteria have varied across years and governing bodies (10). This has led to varying prevalence estimates and uncertainty for patients who may not have received GDM diagnosis in previous years (11).…”

Section: Introductionmentioning

confidence: 99%

Diabetes Risk Status and Physical Activity in Pregnancy: U.S. BRFSS 2011, 2013, 2015, 2017

Rand

Johnson

Ehrlich

et al. 2020

Preprint

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Background: Pregnant women without complications are advised to engage in physical activity (PA) to mitigate adverse outcomes. Differences may exist among pregnant women of diverging diabetes status in meeting national PA recommendations. We sought to examine differences in aerobic activity (AA) and muscle strengthening activity (MSA) by diabetes risk status (DRS) among pregnant women in the United States.Methods: The sample (n=9,597) included pregnant women, age 18-44 years, who participated in the 2011, 2013, 2015, and 2017 Behavioral Risk Factor Surveillance System. Levels of DRS include: no diabetes (ND), high risk for diabetes (HRD) due to self-reported gestational diabetes or pre-diabetes, and overt diabetes due to self-reported, clinically diagnosed diabetes (DM). Odds ratios (ORs) and 95% confidence intervals (CI) for meeting PA recommendations were obtained. Covariates included age, race, education, household child count, alcohol consumption, and smoking status.Results: Findings revealed that on average, DM had 46.5 fewer minutes of weekly AA compared to ND. Furthermore, a significantly lower OR (0.39; CI 0.19-0.82) for meeting both recommendations was observed in DM as compared to ND after adjustment.Conclusions: We observed that pregnant women with overt diabetes had a lower odds of engaging in PA, while those at high risk were similar in their PA engagement to ND. Future studies aimed at assessing determinants of PA behavior may help guide efforts to promote exercise in pregnant women with diabetes.

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Gestational Diabetes and Type 2 Diabetes During Pregnancy

Cited by 6 publications

References 117 publications

Revisiting type II diabetes mellitus in pregnancy and pregnancy outcomes such as in thyroidology: do you mind?

Revisiting type II diabetes mellitus in pregnancy and pregnancy outcomes such as in thyroidology: do you mind?

Diabetes risk status and physical activity in pregnancy: U.S. BRFSS 2011, 2013, 2015, 2017

Diabetes Risk Status and Physical Activity in Pregnancy: U.S. BRFSS 2011, 2013, 2015, 2017

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