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[Diabetes and Pregnancy]. / Diabetes mellitus und Schwangerschaft.
Dtsch Med Wochenschr ; 148(1-02): 26-34, 2023 01.
Article in German | MEDLINE | ID: covidwho-2242229
ABSTRACT
The quality of metabolic control at the beginning of pregnancy already determines the course and outcome of pregnanies with type 1 and type 2 diabetes mellitus. The preconceptional counseling and support provided by experienced teams is more important than modern technical equipment with insulin pumps and sensors for continuous glucose measurement. The incidence of congenital malformations is significantly reduced by a periconceptional HbA1c level < 6.5 % and folic acid supplementation started preconceptionally. To prevent preeclampsia, all women with type 1 and type 2 diabetes mellitus should be offered low-dose ASA, starting before 16 weeks of pregnancy. If the pregnant woman has a BMI < 25 kg/m² and persistently elevated fasting blood glucose levels, a GCK-MODY should be considered. For the diagnosis of asymptomatic gestational diabetes mellitus, all women in Germany with 24 + 0 to 27 + 6 weeks of pregnancy are offered a two-stage screening. Structured follow-up care is required after gestational diabetes mellitus, because these women have an increased risk of developing type 2 diabetes mellitus and cardiovascular complications. Pregnant women with COVID-19 and hyperglycemia have an increased risk of a severe course of the infection, which is further increased by obesity - they are an important target group for vaccination with an mRNA vaccine.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes, Gestational / Diabetes Mellitus, Type 2 / COVID-19 / Hyperglycemia Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Topics: Long Covid / Vaccines Limits: Female / Humans / Pregnancy Language: German Journal: Dtsch Med Wochenschr Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes, Gestational / Diabetes Mellitus, Type 2 / COVID-19 / Hyperglycemia Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Topics: Long Covid / Vaccines Limits: Female / Humans / Pregnancy Language: German Journal: Dtsch Med Wochenschr Year: 2023 Document Type: Article