Key result
Management of Type 1 diabetes in pregnancy by experienced, multidisciplinary teams with tight glycemic control can effectively ameliorate the risks of complications for both the woman and offspring.
Multidisciplinary management and tight glycemic control are essential to minimize complications in pregnant women with Type 1 diabetes.
Supports multidisciplinary tight control in T1D pregnancy; hypothesis-generating and requires RCTs before changing practice.
SUMMARY Pregnancy in women with Type 1 diabetes is associated with an increased risk of complications for both the woman and her offspring. The risks can be effectively ameliorated when women are managed by experienced, multidisciplinary obstetric diabetes teams, emphasizing pre-pregnancy planning with tight glycemic control before and during pregnancy, and close monitoring during labor, delivery and postpartum. This review describes the issues particular to Type 1 diabetes pregnancy and how best to manage these pregnancies to minimize negative outcomes. There is also a brief description of recent developments in the field and current research on novel therapies.
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O'Sullivan et al. (2013) conducted a review in Type 1 diabetes in pregnancy. Multidisciplinary obstetric diabetes management was evaluated. Management of Type 1 diabetes in pregnancy by experienced, multidisciplinary teams with tight glycemic control can effectively ameliorate the risks of complications for both the woman and offspring.
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