Obstetric Management of a Pregnant With Type I Diabetes and Poor Metabolic Control - A Case Report
Received Date: Aug 05, 2017 / Accepted Date: Sep 28, 2017 / Published Date: Oct 05, 2017
Pregnancy in women with type I diabetes is associated with an increased risk of fetal, neonatal and maternal complications. This increased risk is directly related to the preconception and gestational metabolic control. Poor glycemic control before and throughout pregnancy is associated with adverse outcomes. In preconception period, congenital anomalies and spontaneous abortions occur often. During pregnancy, the mother is at an increased risk for hypoglycemia or diabetic ketoacidosis as well as accelerated retinopathy, renal function deterioration, pregnancy induced hypertension or pre-eclampsia. The fetus is also at increased risk of macrosomia and intrauterine demise. Appropriate diet counseling, a tight glycemic control and early diagnosis and close monitoring of complications can prevent or minimized adverse effects improving pregnancy outcomes. We present a case of a pregnant woman with type I diabetes with poor metabolic control. Clinical optimization and pregnancy monitoring were a challenge for both the pregnant and the health care professionals involved.
Keywords: Type I diabetes; pregnancy; Metabolic control
Citation: Duarte C, Soares A, Coelho D, Guerra C, Oliveira P, et al. (2017) Obstetric Management of a Pregnant With Type I Diabetes and Poor Metabolic Control - A Case Report. J Preg Child Health 4: 349. Doi: 10.4172/2376-127X.1000349
Copyright: © 2017 Duarte C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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