Pregnancy diabetes control

In pregnancy close control of diabetes is of the first importance to avoid fetal loss at all stages, and in the first trimester to reduce fetal malformations. Insulins requirements increase steadily after the third month. Ideally, women of childbearing age should be advised to conceive during a period of stable, euglycaemic control. 

Diabetes in pregnancy is associated with increased fetal mortality and morbidity. Good diabetic control during pregnancy decreases complications. The baby of a diabetic mother has an increased probability of developing respiratoiy distress syndrome. 

Both carvedilol and labetalol are contraindicated in patients with hypersensitivity to the drag, bronchial asthma, decompensated heart failure, and severe bradycardia The drugs are used cautiously in patients with drag-controlled congestive heart failure, chronic bronchitis, impaired hepatic or cardiac function, in those with diabetes, and during pregnancy (Category C) and lactation. 

There are few absolute contraindications for deep peeling, with the exception of physical or mental instability. During pregnancy and lactation any cosmetic intervention is considered to be undesirable. We have safely peeled patients with hypertension, diabetes mellitus, thrombocytopenia, thyroid malfunction, etc, as long as their disease is well controlled and stable. All pa-... 

Many cfinidans rely on PG whenever they need to assess FLM in a diabetic patient. No modern studies support this practice. In normal pregnancies, PG is detected by thin-layer chromatography (TLC) or AmnioStat-PLM at approximately 35 weeks gestation. In diabetic patients, regardless of glycemic control, PG is detected about 1.5 weeks later. Many diabetic patients will deliver term infants unaffected by RDS before any PG is detected. The diabetic status of the patient does not affect the method of detection. ... 

The preferred short-term parameter is plasma glycosylated albumin. The method has technical advantages and is preferable in cases of diabetic pregnancy, hemolytic disease, and high Hb F (M9) and in monitoring control after a hyperglycemic episode (D19). 

Hispanic American, Pacific Islander, and Native American (10). If GDM develops during pregnancy, then the woman has a 50% risk of developing type 2 diabetes In the future and a 50% risk of experiencing GDM In a subsequent pregnancy (10). Babies born to women with preexisting diabetes that Is poorly controlled are two- to fourfold more likely ... 

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