title: Pregnancy in diabetes and kidney disease.
abstract: With appropriate multi-disciplinary team care, most women with diabetic nephropathy will have successful pregnancy outcomes; however, pregnancy complications are increased compared to non-diabetic individuals, particularly in those with poor glycaemic control. Women with more severe renal impairment, especially those with hypertension and proteinuria at are highest risk of worse pregnancy outcomes and deterioration in pre-existing renal function. Pre-pregnancy counselling should be offered to all women with diabetes in order to optimise diabetic care, and inform women of potential complications. Pregnancy is an indicator of long-term health, and may indicate important issues for the future management of women with diabetic nephropathy.
authors.affiliation: Maternal and Fetal Research Unit, King's College London, London, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Bramham
authors.forename: Daghni
authors.initials: D
authors.lastname: Rajasingham
mesh_terms: D015897:Comorbidity; D003928:Diabetic Nephropathies / Q000150:complications* / Q000503:physiopathology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000503:physiopathology*; D011507:Proteinuria / Q000209:etiology; D017582:Renal Replacement Therapy; D012307:Risk Factors