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Cited by 329

The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.

Management of diabetes mellitus complicating pregnancy

Gabbe, S·2003·Obstetrics & Gynecology

Abstract

Diabetes mellitus complicates 3-5% of all pregnancies and is a major cause of perinatal morbidity and mortality, as well as maternal morbidity. The availability of a variety of new insulins, the insulin pump, and self-monitoring of blood glucose have revolutionized the care of the pregnancy complicated by diabetes mellitus. However, challenges remain in caring for the pregnant patient with pregestational diabetes. Relatively few women receive preconceptional counseling, and major fetal malformations as a result of poor glucose control before and during the early weeks of gestation have emerged as the major cause of perinatal mortality. When the patient has diabetic vasculopathy, the obstetrician, maternal-fetal specialist, and/or endocrinologist and other members of the health care team must perform a challenging balancing act that promotes fetal health while minimizing maternal risk. As obesity increases in this country and our population becomes more diversified, the rate of gestational diabetes mellitus (GDM) will rise. Although there is controversy regarding which diagnostic standards to use for GDM, there is agreement that excellent blood glucose control, with diet and, when necessary, insulin will result in improved perinatal outcome. Finally, the goal of our educational programs should be not only to improve pregnancy outcome but also to promote healthy lifestyle changes for the mother that will last long after delivery.

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Metadata

Authors
Gabbe, S.
Venue
Obstetrics & Gynecology
Published
2003-10
Volume
102
Issue
4
Pages
857-868
ISSN
0029-7844 (ISSN-L)
OpenAlex
W2042652570
Cited by
329
References
51
FWCI
18.17
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Management of diabetes mellitus complicating pregnancy. https://app.cochat.ai/papers/10.1016/j.obstetgynecol.2003.07.001
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Gabbe, S. (2003). Management of diabetes mellitus complicating pregnancy. Obstetrics & Gynecology. https://doi.org/10.1016/j.obstetgynecol.2003.07.001

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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