Contemporary management of type 1 diabetes mellitus in pregnancy.
Type 1 diabetes in pregnancy can result in significant short- and long-term morbidity to both mother and offspring if management is suboptimal. This morbidity imposes a considerable financial and health burden on the individual and society at large. There is currently a significant body of knowledge to offer guidance on optimal obstetric management of the woman with type 1 diabetes. Utilization of appropriate management guidelines preconception and during pregnancy is an effective strategy to limit complications of type 1 diabetes and should therefore become the standard of care.


BACKGROUND
Obstetricians & Gynecologists, Family Physicians.


OBJECTIVE
After completion of this article, the reader should be able to describe the features of a type I diabetic patient, to outline the goals of preconception care in this population of patients, to list the potential adverse effects of diabetes in pregnancy, and to summarize a potential strategy for the management of insulin administration in pregnancy.
New York University School of Medicine, New York, USA. jwbmfm@yahoo.com
James
J
Bernasko
D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000209:etiology / Q000517:prevention & control; D016742:Preconception Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000517:prevention & control; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D011295:Prenatal Care