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

Abstract

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.

Do you mind the role of spinal sensory block duration in a crucial endocrine disorder of diabetes mellitus? A prospective observational study

“…Long-term complications of diabetes, both microvascular and macrovascular, are a significant cause of morbidity and mortality, and glycated hemoglobin (HbA1c) plays a crucial role in developing and progressing microvascular complications like diabetic neuropathy [19][20][21][22][23][24][25] . In this study, higher HbA1c levels had longer block durations, suggesting that poor glycemic control may contribute to extended durations.…”

Melatonin, menopause, and thyroid function in gynecologic endocrinology: what is the role?

“…The thyroid gland is less sensitive to the pro-oxidative effects of potassium iodate, KIO 3 , and reacts more strongly to the antioxidant effect of MTN than other tissues, which plays a significant role in Melatonin, menopause, and thyroid function in thyroidology this phenomenon. Hence, MTN should be considered to avoid the potential damaging effects of iodine compounds applied in iodine prophylaxis [15][16][17][18][19] . Radiotherapy for head and neck tumors can often damage the thyroid follicular structure even though it is not affected by the tumor.…”