Pregestational Diabetes Mellitus
Diabetes mellitus is a metabolic disorder. Type 1 diabetes is caused by autoimmune destruction of the pancreas, making patients dependent on exogenous insulin; during pregnancy these patients are at increased risk for diabetic ketoacidosis and hypoglycemia. Type 2 diabetes is caused by decreased insulin sensitivity and often they can be managed with oral agents; these patients are generally older and more likely to be obese. Pregnancy outcomes for women with pregestational diabetes are improved with glucose monitoring and control .
KeywordsDiabetes mellitus Diabetic ketoacidosis Insulin Hypoglycemia
- 1.Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ERM, Driscoll DA. Obstetrics: normal and problem pregnancies. Chapter 39. 6th ed. Philadelphia, PA: Elsevier; 2012.Google Scholar