DIABETIC NEPHROPATHY IN TYPE 1 DIABETES AND PREGNANCY. MODERN VIEW OF THE PROBLEM

被引：0
作者：
Shilova, Ekaterina S. [1 ,2 ]
Borovik, Natalya, V [1 ]
Yarmolinskaya, Maria, I [1 ,3 ]
机构：
[1] Res Inst Obstet Gynecol & Reproductol, 3 Mendeleyevskaya Line, St Petersburg 199034, Russia
[2] Almazov Natl Med Res Ctr, St Petersburg, Russia
[3] North Western State Med Univ, St Petersburg, Russia
来源：
DIABETES MELLITUS | 2020年 / 23卷 / 04期
关键词：
type 1 diabetes mellitus; diabetic nephropathy; preconception care; pregnancy; CHRONIC KIDNEY-DISEASE; CONVERTING ENZYME-INHIBITORS; GLYCEMIC CONTROL; RENAL-FUNCTION; 1ST TRIMESTER; FOLLOW-UP; WOMEN; COMPLICATIONS; OUTCOMES; MICROALBUMINURIA;
D O I：
10.14341/DM12228
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Diabetic nephropathy (DN) is specific kidney damage in patients with diabetes mellitus. DN develops relatively often in pregestational diabetes patients (5,9-26%) and stills one of the main limitations for successful pregnancy in this patients' group. Advanced DN increases risks of poor pregnancy outcomes for women and fetuses including chronic kidney disease (CKD) progression, high rate of preeclampsia, preterm deliveries, Cesarean sections, perinatal mortality and neonatal morbidity. At the same time there are more and more successful pregnancies with advanced DN in the wold. In our paper we systematize global experience of planning and management pregnancies with type 1 diabetes and DN in different stages of renal impairment. We discuss role of nephroprotective therapy in preconception care, achievement and maintaining blood pressure goals, multidisciplinary team care for improvement pregnancy outcomes in type 1 diabetic women with DN.
引用
收藏
页码：340 / 348
页数：9
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