Pregestational diabetes mellitus represents one of the most challenging medical complications of pregnancy because of the need for frequent monitoring and adjustment of medications as well as the potential for maternal and fetal complications. This document provides an overview of the current understanding of pregestational diabetes mellitus and suggests management guidelines during pregnancy. Because few well-designed studies have been performed, many of the guidelines are based on expert and consensus opinion. This document has been updated to reflect current data on pregestational diabetes. This Practice Bulletin is updated with summary information to counsel and manage women with pregestational diabetes before and during pregnancy, more recent literature reflecting experience with continuous subcutaneous insulin infusion during pregnancy, an expanded section on the role of oral hypoglycemic agents in pregnancy, and the option of long-acting reversible contraception during the postpartum period.

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La paciente con diabetes pregestacional con mal control presenta mayor riesgo de complicaciones desde el inicio y hasta el final de embarazo. El sistema GRADE: un cambio en la forma de evaluar la calidad de la evidencia y la fuerza de las recomendaciones. Revista Med Chile ; Recomendaciones para gestantes con diabetes pregestacional. Rev Soc Arg Diab ; 44 2 Ministerio de Salud. Commitee Opinion Medically indicated late-preterm and early-term deliveries.

Obstet Gynecol ; American Diabetes Association. Management of diabetes in pregnancy. Diabetes Care ; 39 1 Diabetes Care ; 38 1 Endocr Pract ; Diabetes and pregnancy: an endocrine society clinical practice guideline. J Clin Endocrinol Metab, ; 98 11 Canadian Agency for Drug and Technologies in Health. Clinical Practice Guidelines for the prevention and management of Diabetes in Canada. Canadian Journal of Diabetes ; 37 Suppl1 Guideline Development Group. Management of diabetes from preconception to the postnatal period: summary of NICE guidance.

BMJ ; Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period. Intrapartum care. Disponible en: nice. Insulin pumps for adults with type 1 diabetes: a review of clinical effectiveness, cost-effectiveness and guidelines Shields L, Tsay GS.

California diabetes and pregnancy program sweet success guidelines for care. California Department of Public Health website. Revised July Clinical practice guidelines diabetes and pregnancy. Can J Diabetes ; 37 Suppl 1 Rasmussen KL, Yaktine A. Weight gain during pregnancy.

Reexamining the Guidelines. ISBN Peri-conceptional A1C and risk of serious adverse pregnancy outcome in women with type 1 diabetes. Diabetes Care ; Patterns of Glycemia in Normal Pregnancy Should the current therapeutic targets be challenged? Diabetes Care ; 34 7 : Rev Soc Argent Diab ; 31 4 Diabet Med ; 33 9 Continuous subcutaneous insulin infusion versus multiple daily injections of insulin for pregnant women with diabetes.

Hypoglycemia in type 1 diabetic pregnancy: role of preconception insulin aspart treatment in a randomized study. Diabetes Care ; 33 3 A randomized trial comparing perinatal outcomes using insulin detemir or neutral protamine Hagedorn in type 1 diabetes. J Matern Fetal Neonatal Med ; 27 1 Maternal glycemic control and hypoglycemia in type 1 diabetic pregnancy: a randomized trial of insulin aspart versus human insulin in pregnant women.

Diabetes Care ; 30 4 Insulin Therapy in Pregnancy. Endocrinol Metab Clin N Am ; 41 1 Safety of insulin glargine use in pregnancy: a systematic review and meta-analysis. Ann Pharmacother ; 45 1 The role of adding metformin in insulin-resistant diabetic pregnant women: a randomized controlled trial. Arch Gynecol Obstet ; 5 J Clin Endocrinol Metab ; 5 Diabetes Care ; 34 10 Metformin versus insulin for the treatment of gestational diabetes. N Engl J Med 8; 19 Maternal immunization in Argentina: A storyline from the prospective of a middle income country.

Vaccine ; Gunderson EP. Intensive nutrition therapy for gestational diabetes. Rationale and current issues. Diabetes Care ; 20 2 Low-carbohydrate diet for the treatment of gestational diabetes: a randomized controlled trial. Referente charts for weight gain and body mass index during pregnancy obtained from a healthy cohort.

Tremblay A, Gilbert J. Milk products, insulin resistance syndrome and type 2 diabetes. Physical activity patterns and gestational diabetes outcomes. The wings Project. Diabetes Res Clin Pract ; Progression of diabetic retinopathy during pregnancy in women with type 2 diabetes. Diabetologia ; 53 6 Simmons D. Diabetes and obesity in pregnancy. Microalbuminuria, preeclampsia and preterm delivery in pregnancy with type 1 diabetes: results from a nationwide Danish study.

Obstetric nephrology: pregnancy in women with diabetic nephropathy. The role of antihypertensive treatment. Clin J Am Soc Nephrol ; 7 12 : The eighth report on confidential enquiries into maternal deaths in the United Kingdom.

BJOG ; 1 Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Breast feeding is asssociated with reduced post partum maternal glucose intolerance after gestational Diabetes. Ir Med J. Does breathfeeding influence the risk of developing Diabetes Mellitus in children?

A Review of current evidence. J Pediatr Rio J ; 90 1 B , Buenos Aires, Argentina. Palabras clave diabetes; embarazo; diabetes pregestacional. Texto completo: PDF. American Diabetes Association Guide Nutrition Therapy for Diabetes.

Second edition. Regan AK. The safety of maternal immunization. Hum Vaccin Innmunother ; Swamy GK, Heine P. Vaccinations for pregnant Women.


ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus






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