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Managing Preexisting Diabetes for Pregnancy
Open accessAbstract
A. Organization of preconception and pregnancy care Recommendations • Women with diabetes and childbearing potential should be educated about the need for good glucose control before pregnancy and should participate in effective family planning.(E) • Whenever possible, organize multidiscipline patient-centered team care for women with preexisting diabetes in preparation for pregnancy.(B) • Women with diabetes who are contemplating pregnancy should be evaluated and, if indicated, treated for diabetic nephropathy, neuropathy, and retinopathy, as well as cardiovascular disease (CVD), hypertension, dyslipidemia, depression, and thyroid disease.(E) • Medication use should be evaluated before conception, since drugs commonly used to treat diabetes and its complications may be contraindicated or not recommended in pregnancy, including statins, ACE inhibitors, angiotensin II receptor blockers (ARBs), and most noninsulin therapies.(E) • Continue multidiscipline patientcentered team care throughout pregnancy and postpartum.(E) • Regular follow-up visits are important
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“Specifically, stringent control of HbA 1c values during pregnancy decreases congenital malformations, large-for-date infants, and the complications of pregnancy and delivery that can otherwise occur when glycemic control is not carefully managed (333).”
From Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus (2023) · cites this paper as [333]
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“Specifically, stringent control of HbA 1c values during pregnancy decreases the risk of congenital malformations, large-for-date infants, and the complications of pregnancy and delivery that can otherwise occur when glycemic control is not carefully managed (198).”
From Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus (2011) · cites this paper as [198]
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Metadata
- Authors
- Kitzmiller, J. L., Block, J. M., Brown, F. M., Catalano, P. M., Conway, D. L., Coustan, D. R., Gunderson, E. P., Herman, W. H., Hoffman, L. D., Inturrisi, M., Jovanovic, L. B., Kjos, S. I., Knopp, R. H., Montoro, M. N., Ogata, E. S., Paramsothy, P., Reader, D. M., Rosenn, B. M., Thomas, A. M., & Kirkman, M. S.
- Affiliations
- Santa Clara Valley Medical Center (US)
- Stanford Medicine (US)
- Joslin Diabetes Center (US)
- MetroHealth Medical Center (US)
- The University of Texas at San Antonio Health Science Center (US)
- Brown University (US)
- Kaiser Permanente (US)
- University of Michigan (US)
- Diabetes and Pregnancy Program, Obstetrix Medical Group, San Jose, California
- University of California, San Francisco (US)
- Sansum Diabetes Research Institute, Santa Barbara, California
- University of California, Los Angeles (US)
- University of Washington (US)
- University of Southern California (US)
- Northwestern University (US)
- International Diabetes Center, Minneapolis, Minnesota
- St. Luke's-Roosevelt Hospital Center (US)
- St. Joseph’s University Medical Center (US)
- American Diabetes Association (US)
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2008-05-01
- Volume
- 31
- Issue
- 5
- Pages
- 1060-1079
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC2930883
- OpenAlex
- W2097577333
- Semantic Scholar
- ea988c5ae6c3954b51ee201b85c230b7d9b63a69
- Cited by
- 476
- References
- 197
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 11 · 2023: 24 · 2022: 25 · 2021: 16 · 2020: 19 · 2019: 21 · 2018: 25 · 2017: 81 · 2016: 29 · 2015: 29 · 2014: 31 · 2013: 28 · 2012: 29
- FWCI
- 34.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K01DK059944)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- pregestational diabetes, pregnancy, preconception care, glycemic control, family planning, multidisciplinary care, patient-centered care, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, cardiovascular disease, hypertension, dyslipidemia, depression, thyroid dysfunction, drug safety in pregnancy, statins, ACE inhibitors, angiotensin receptor blockers, postpartum care
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Female, Humans, Patient Care Planning, Pregnancy, Pregnancy Complications, Pregnancy in Diabetics, Blood Glucose Self-Monitoring, Diabetes Complications
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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