Preconception care for women with diabetes

redaction, PD

doi:10.1136/dtb.2008.04.0011

Drug and Therapeutics Bulletin

2008

DOI: 10.1136/dtb.2008.04.0011

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Preconception care for women with diabetes

PD redaction¹

Abstract: Diabetes mellitus is one of the commonest pre-existing medical disorders complicating pregnancy in the UK. Having either type 1 or type 2 diabetes increases the likelihood of poor pregnancy outcomes. Here we review specific advice women with diabetes should receive before conception to help reduce such risks.

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Cited by 2 publications

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Preconception care for women with diabetes and prevention of major congenital malformations

Kitzmiller¹,

Wallerstein

Correa

et al. 2010

Birth Defects Research

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This article provides an overview of the rationale for diabetes preconception care interventions for women with diabetes and the efficacy in reducing the excess occurrence of major congenital malformations. The problems with broad use of individualized preconception care are considered. In addition, suggestions are made for the implementation of more comprehensive interventions in the community and usual diabetes care settings, to address the multiple ongoing challenges in the prevention of structural anomalies associated with preexisting diabetes. Based on the published evidence, successful preconception care can be considered to include: achievement of individualized target standardized glycosylated hemoglobin levels, adequate nutrition, and minimizing hypoglycemia before and after discontinuing effective contraception and during the transition to early prenatal care.

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Preconception care for women with diabetes and prevention of major congenital malformations

Kitzmiller¹,

Wallerstein

Correa

et al. 2010

Birth Defects Research

View full text Add to dashboard Cite

show abstract

Preconception Counseling for Adolescents and Young Adults with Diabetes: a Literature Review of the Past 10 Years

et al. 2018

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This article reports both national and international progress in PC efforts for adolescents and young adults (12-34 years) with diabetes over the past decade. Twenty-eight publications were identified and included in this article (11 were research, 12 clinical guidelines, and 5 reviews). Despite recommendations to start PC at puberty, only four studies had interventions that targeted the adolescent and young adult age group. Three of them were associated with the same PC awareness program. Positive outcomes were reported in all of these studies. Greater family vigilance was observed in a long-term follow-up of a cohort of women who received PC as teens. Adolescents should receive awareness PC. More early PC interventions and cohort follow-up studies are needed among adolescents and young adults, using technology that appeals to this age group. Programs should be expanded to include other populations like males with diabetes and females from other cultures and religions that would require program modification.

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Preconception care for women with diabetes

Cited by 2 publications

References 21 publications

Preconception care for women with diabetes and prevention of major congenital malformations

Preconception care for women with diabetes and prevention of major congenital malformations

Preconception Counseling for Adolescents and Young Adults with Diabetes: a Literature Review of the Past 10 Years

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