Management of Pregnant Women with Type 2 Diabetes Mellitus and the Consequences of Fetal Programming in Their Offspring

被引：22

作者：

Berry, Diane C. ^{[1
]}

Boggess, Kim ^{[2
]}

Johnson, Quinetta B. ^{[2
]}

机构：

[1] Univ N Carolina, Sch Nursing, Campus Box 7460, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, Dept Obstet & Gynecol, Div Maternal Fetal Med, 3010 Old Clin Bldg,CB 7516, Chapel Hill, NC 27599 USA

来源：

CURRENT DIABETES REPORTS | 2016年 / 16卷 / 05期

关键词：

Type; 2; diabetes; Pregnancy; Poor glycemic control; Fetal programming; BIRTH-WEIGHT; INSULIN; GLYBURIDE; OBESITY; GLUCOCORTICOIDS; COMPLICATIONS; PREVALENCE; GLUCOSE;

D O I：

10.1007/s11892-016-0733-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The obesity epidemic has fueled an epidemic of prediabetes and type 2 diabetes mellitus in women of childbearing age. This paper examines the state of the science on preconception and pregnancy management of women with type 2 diabetes to optimize outcomes for the women and their infants. In addition, the consequence of fetal programming as a result of suboptimal maternal glycemic control is discussed. The paper focuses on type 2 diabetes, not type 1 diabetes or gestational diabetes. Management of women with type 2 diabetes includes preconception counseling, preconception weight management and weight loss, proper weight gain during pregnancy, self-monitoring of blood glucose levels, medication, medical nutrition therapy, and exercise.

引用

页数：6

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