title: Women with pre-existing diabetes under the care of diabetes specialist prior to pregnancy: are their outcomes better?
abstract: In this retrospective study, pregnant women with type 1 diabetes under the care of diabetes specialists pre-conception were found to have better glycaemic control and pregnancy outcomes than those not under specialist care prior to pregnancy. These differences were not seen in women with type 2 diabetes. The study showed that tight glycaemic control in women with pre-existing diabetes was associated with better pregnancy outcomes, and we believe women with type 1 diabetes should be managed by a diabetes specialist before pregnancy.
authors: Diabetes and Endocrine Service, Liverpool Hospital, Liverpool BC, New South Wales, Australia. vincent.wong@sswahs.nsw.gov.au
authors: Vincent W
authors: VW
authors: Wong
authors: Himali
authors: H
authors: Suwandarathne
authors: Hamish
authors: H
authors: Russell
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D000013:Congenital Abnormalities / Q000209:etiology; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000628:therapy*; D005260:Female; D005320:Fetal Macrosomia / Q000209:etiology; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D015931:Intensive Care, Neonatal; D011247:Pregnancy; D011254:Pregnancy in Diabetics; D012189:Retrospective Studies; D012307:Risk Factors; D013038:Specialization; D018709:Statistics, Nonparametric
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human