Pregnant women with diabetes are at higher risk of complications, particularly preterm labor and delivery. Generally, pregestational diabetes results in poorer pregnancy outcomes and affects both the mother and fetus. While the disease itself has no cure, it can be managed during pregnancy, and some strategies for managing pregestational diabetes are different than those for normal gestational diabetes.<\/p>\n\n\n\n
The goal of medical management of pregestational diabetes is to maintain maternal blood glucose levels at near or above normoglycemia. Normoglycemia is the lowest level of blood glucose for pregnant women who do not have diabetes. Good glycemic control during pregnancy reduces the risk of maternal and fetal complications, such as preeclampsia, macrosomia, and congenital defects.<\/p>\n\n\n\n
Maternal pregestational diabetes mellitus is associated with a significantly increased risk of fetal CHD. The risk was independent of the type of diabetes and the timing of onset. Moreover, the duration of gestational diabetes mellitus did not influence the risk of fetal CHD.<\/p>\n\n\n\n
Uncontrolled diabetes during pregnancy can result in an extra-large baby or a premature delivery. It can also cause shoulder dystocia during vaginal delivery. In this case, the shoulders of the baby can become trapped behind the pubic bone. These problems can increase the risks of birth trauma. Pregnant women with gestational diabetes can also develop preeclampsia, which can lead to premature delivery or even stillbirth.<\/p>\n\n\n\n
A woman with pre-existing diabetes is at risk of major malformations during pregnancy if her A1c level is above 260 mg\/dl before conception. A recent study of 1,676 women with pre-existing diabetes found a high rate of anomalies during pregnancy. While women with A1c levels of 10% or higher had a high risk of anomalies, women with A1c levels of 13% or higher had a much lower risk.<\/p>\n","protected":false},"excerpt":{"rendered":"
This article discusses the diagnosis, treatment, complications, and lifestyle factors that can increase your risk of developing pregestational diabetes. This condition is particularly common in Saudi Arabia, which has an estimated prevalence of 36%. Moreover, the prevalence of T2DM in the population is high, and the epidemiology of GDM is closely related to that of […]<\/p>\n","protected":false},"author":2,"featured_media":2289,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[475,472,473,474],"_links":{"self":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts\/2278"}],"collection":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/comments?post=2278"}],"version-history":[{"count":1,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts\/2278\/revisions"}],"predecessor-version":[{"id":2292,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts\/2278\/revisions\/2292"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/media\/2289"}],"wp:attachment":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/media?parent=2278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/categories?post=2278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/tags?post=2278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}