Advances in management of Type 1 diabetes and pregnancy.
Obstetricians will need to update themselves on the recent changes in terminology and in diagnostic criteria for Type 1 diabetes mellitus. This still remains a high-risk obstetric situation, in spite of optimistic reports from centres of excellence. Pregnancy-associated hypertension may be closely related to insulin resistance. A number of concepts and hypotheses are based on the central role of insulin in fetal development.
Hadden
D R
DR
Royal Maternity Hospital and Royal Victoria Hospital, Belfast, Northern Ireland, UK. david.hadden@royalhospitals.n-i.nhs.uk
McCance
D R
DR
D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000502:physiology / Q000627:therapeutic use; D007333:Insulin Resistance / Q000502:physiology; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy*; D018566:Pregnancy, High-Risk; D011295:Prenatal Care; D016896:Treatment Outcome
D007004:Hypoglycemic Agents; D007328:Insulin