title: [Preconceptional control in diabetic women].
abstract: The experience of the Preconceptional Clinic developed in our hospital from 1992 to 1996 is here reported. Twenty-eight insulin-dependent diabetic patients underwent a preconceptional control (PCC). Pregnancy was obtained in 19 patients (2 miscarriages, 12 full pregnancies, and 5 pregnancies in course). A comparative case-control study was performed between the 12 patients undergoing PCC, who have completed their pregnancy, and other 12 prepregnant diabetic patients, controlled from the 7-12 weeks of pregnancy. HbA1c levels in the PCC group were lower, and no differences regarding fetal morbidity were observed. The presence of a severe congenital malformation in the PCC group, with normal periconceptional HbA1c levels, denotes the teratogenic influence of factors yet to be elucidated.
authors.affiliation: Servicio de Endocrinología, Hospital Universitario La Paz, Madrid.
authors.forename: M T
authors.initials: MT
authors.lastname: García Ingelmo
authors.forename: L
authors.initials: L
authors.lastname: Herranz de la Morena
authors.forename: P
authors.initials: P
authors.lastname: Martín Vaquero
authors.forename: M
authors.initials: M
authors.lastname: Jáñez Furio
authors.forename: C
authors.initials: C
authors.lastname: Grande Aragón
authors.forename: L F
authors.initials: LF
authors.lastname: Pallardo Sánchez
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000517:prevention & control*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D016742:Preconception Care; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000097:blood / Q000517:prevention & control*
chemical_list: D006442:Glycated Hemoglobin
vernacular_title: El control preconcepcional en la gestante diabética.