In this book, Ginger Vieira and Jennifer Smith, CDE & RD, guide you through preparing for pregnancy, from conception to birth, and through the challenges of managing your blood sugars during postpartum.REVIEWS:" Wow, there's so much ...
Managing type 1 diabetes during pregnancy is an incredibly overwhelming yet rewarding pursuit. It's about so much more than just counting your carbs and getting exercise. Due to constantly increasing hormones during pregnancy, your insulin needs constantly change, too. While no two women's pregnancies will be alike, the timing of those anticipated insulin adjustments will be similar. In this book, Ginger Vieira and Jennifer Smith, CDE & RD, guide you through preparing for pregnancy, from conception to birth, and through the challenges of managing your blood sugars during postpartum.REVIEWS:" Wow, there's so much information! The first part of the book, Preparing for Pregnancy, is presented quite well. It gives a WWT1D all the information she needs to prepare for pregnancy. But, I have to say, having lived vicariously through three pregnancies I think the Month-To-Month guide is brilliant. It should be read twice. First, all at once, to help a woman plan and prepare for the different stages of pregnancy. Then, slowly, as each phase opens and each experience becomes as emotional as it is physical. A wonderful guide. The personal testimonials that close out the book are a very nice touch." -Victor Van Beuren, Senior Acquisitions Director of ADA Books"If you have type 1 diabetes and are contemplating having a baby, before you do anything-and that means anything at all-make sure you grab a copy of Pregnancy With Type 1 Diabetes by Ginger Vieira, CHC, CPT and Jennifer C. Smith, RD, CDE. The book is subtitled 'Your Month-to-Month Guide to Blood Sugar Management,' but it's so much more, it will likely be referred to as 'the Type 1 pregnancy bible' before long."-Nancy Kaneshiro, DiabeticLifestyle.com"Ginger and co-author Jennifer Smith wanted to create a guide specifically designed to help women with type 1 diabetes meet those challenges. As mothers with diabetes themselves, they know what it's like to feel the fear of being pregnant while managing diabetes. Ginger has lived with type 1 diabetes and celiac disease since 1999, has written several books about diabetes, and is part of the editorial team at DiabetesDaily.com. Jenny, a Certified Diabetes Educator and Registered Dietitian, has lived with type 1 diabetes since 1990 and works as a diabetes coach for people across the globe. They will both soon be mothers of two children (Ginger is expecting her second child in May!). Their book Pregnancy with Type 1 Diabetes is not just an informative tool and resource, but is also a source of personal support, encouragement, and inspiration for all mothers-to-be with type 1 diabetes."-Amelia Dmowska, diaTribe.org
Are you pregnant and just found out you have gestational diabetes? Diabetes & Pregnancy has the answers that you need and will let you focus on becoming a mom. Learn what you need to do to stay well and have a healthy baby.
Author: David Sacks
Publisher: American Diabetes Association
Category: Health & Fitness
Pregnancy is an exciting time of change and expectation. Now is the time to take charge of your health so you and your baby can have the healthiest, happiest lives possible. Do you have type 1 or type 2 diabetes and are thinking about getting pregnant? Did you have gestational diabetes in a previous pregnancy and are now planning to get pregnant again? Are you pregnant and just found out you have gestational diabetes? Diabetes & Pregnancy has the answers that you need and will let you focus on becoming a mom. Learn what you need to do to stay well and have a healthy baby. Topics include: Getting you and your blood glucose levels in the best shape before getting pregnantEating and exercising for twoAchieving a healthy body weightKnowing what tests to expect during pregnancyLearning to balance insulin with your meal planPreventing complications
This is a comprehensive overview of the clinical characteristics of pregnancy-related type 1 and 2 diabetes as well as of gestational diabetes. It is a must-read for everyone involved in the monitoring of diabetes during pregnancy.
Author: A. Lapolla
Publisher: Karger Medical and Scientific Publishers
Diabetes mellitus, one of the most prevalent complications during pregnancy, can cause a range of problems for women and their developing babies. The number of types of diabetes during pregnancy has dramatically increased worldwide in recent years. Obesity is a very common risk factor for the development of GDM and type 2 diabetes. To prevent birth defects and other health problems, optimal healthcare before and during pregnancy is mandatory. To reach this goal, a multidisciplinary approach is of major importance. This book presents the latest knowledge on the physiopathology, diagnosis, autoimmunity, genetics, omics, and management and treatment of diabetic pregnancy. Renowned healthcare professionals and academic experts provide insights into the complexity of diabetic pregnancy, its treatment, and pregnancy complications. This is a comprehensive overview of the clinical characteristics of pregnancy-related type 1 and 2 diabetes as well as of gestational diabetes. It is a must-read for everyone involved in the monitoring of diabetes during pregnancy.
This book is published with the purpose of providing a comprehensive, but nevertheless concise, overview of the scientific and clinical characteristics/features of gestational diabetes as well as of type 1 and type 2 diabetes mellitus in ...
Author: Josip Djelmi
Publisher: Karger Medical and Scientific Publishers
This book is published with the purpose of providing a comprehensive, but nevertheless concise, overview of the scientific and clinical characteristics/features of gestational diabetes as well as of type 1 and type 2 diabetes mellitus in pregnancy. It aims to address a wide range of specialists, health care professionals and academics, who are involved in tackling the medical and scientific problems of the disease and its influence on pregnancy and its outcome.
Results380 women with a total of 536 pregnancies were included in the study. The mean age was 31.1y and pre-pregnancy HbA1c 6,7 % (59,7 mmol/mol). Parity was: P0=43 %, P1=40 %, P2=14 % and P3+P4=3%.
Parity increases insulin requirements in pregnant women with type 1 diabetes.BackgroundAlterations in insulin requirements and insulin resistance during pregnancies complicated by diabetes constitute a challenge for both patients and clinicians. Pregnancies in women with type 1 diabetes are associated with an increased risk of congenital malformations, obstetric complications and neonatal morbidity, and this risk is directly correlated to glycemic control immediately before and during pregnancy. Thus, a tight glycemic control throughout pregnancy is crucial and can only be obtained if a successful collaboration between patients and clinicians is established. AimThe aim of the current study was to evaluate the insulin requirements in women with type 1 diabetes during pregnancy and to test whether parity affects insulin requirements.MethodAn observational cohort study was conducted. The cohort consisted of women with type 1 diabetes who gave birth at Aarhus University Hospital between January 2004 and December 2015. From the patientsu2019 medical records, we obtained the following data at every visit: Daily insulin requirement (IU), current HbA1c, weight (kg), blood pressure, TSH level and weekly levothyroxine dose, if relevant. We also obtained the following pre-pregnancy data: weight (kg), height (cm), parity, daily insulin requirement (IU), last known HbA1c (not older than 6 months), duration of diabetes, use of insulin pump, medicine, smoking and alcohol habits, thyroid disease and measures of nephropathy and retinopathy. Daily insulin requirement was calculated by adding long-acting and short-acting insulin. The mean daily insulin requirement was determined at the following time points: pre-pregnancy (week 0), week 5-10, week 11-14, week 15-18, week 19-22, week 23-28, week 29-32, week 33-36 and week 37-40. Our primary outcome was: Mean daily insulin requirement (IU) at the above-mentioned time points. Secondary outcomes were i) Percentage decrease and increase from pre-pregnancy insulin requirement at the above-mentioned time points ii) The effect of parity on mean daily insulin requirement for the whole pregnancy iii) The effect of fetal gender on insulin requirement. Results380 women with a total of 536 pregnancies were included in the study. The mean age was 31.1y and pre-pregnancy HbA1c 6,7 % (59,7 mmol/mol). Parity was: P0=43 %, P1=40 %, P2=14 % and P3+P4=3%. Insulin requirements from week 11-16 decreased significantly with 4% and rose significantly from week 19 to delivery with a peak of 70 % at week 33-36 (See Figure 1). Overall, insulin requirements increased significantly with parity; the unadjusted differences between P0 and P1, P2 and P3+4 were 9, 12 and 23% respectively and the adjusted (BMI, age, pre-pregnancy HbA1c and duration of diabetes) differences were 13, 20 and 36 %. We also observed difference between P1 and P3+4 at 20%. To confirm our results, we performed a subgroup analysis, where we only included the women who were in the cohort more than once (n=147). We compared mean daily insulin requirement in the woman's first pregnancy in the cohort with the following pregnancies. We found a significant difference in insulin requirement between the pregnancies of +11 % (9-13). This was across all parities.The Sex Ratio at Birth (live male newborns/total live newborns) was in our study 0,496 and we found no difference in mean daily insulin requirements when comparing women with male offspring and female offspring.DiscussionIn conclusion our data show that parity per se increases insulin requirements during pregnancy between 9 and 36 % in type 1 diabetes and confirm that insulin dosages exhibit a characteristic pattern with a modest early decrease and a pronounced late increase during pregnancy.Our study is to our knowledge the largest study on insulin requirements during pregnancy to date, which is an obvious strength and produces convincingly low p-values and narrow confidence intervals.This provides valuable information to achieve tight glycemic control throughout pregnancy. The large number of participants has yielded information on how the patients' parity affects insulin requirement and shows that the more times a women with type 1 diabetes gives birth the more insulin she needs. Being the first report to show this, our findings may have straight clinical implications for pregnant type 1 diabetes patients.Conflict of InterestReceipt of grants or research support:G.S and U.K. are supported by the Danish Diabetes Academy funded by the Novo Nordisk Foundation. P.O received financial support from the Novo Nordisk Foundation. The funding sources had no role in the study design, inclusion process, data analysis, statistical considerations or in the writing of this report.
This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes.
Author: Lisa E. Moore
This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes. Covering patients with type 1, type 2, and gestational diabetes, this handbook offers guidance on the different methods of treatment necessary for each population. Chapters cover the entire scope of patient care, including: diagnosis, patient education, dietary recommendations, medications, management during labor, potential fetal complications, and postpartum management. Obstetricians, gynecologists, primary care physicians, and residents will use this text to quickly answer any question they have on diabetes and pregnancy.
This new edition supports the latest initiatives and strategies of the International Federation of Gynecology and Obstetrics (FIGO) and adds chapters on noncommunicable diseases, obesity, bariatric surgery, and epidemiology outside Western ...
Author: Moshe Hod
Publisher: CRC Press
Babies of women with diabetes are nearly five times more likely to be stillborn and almost three times more likely to die in the first three months. The incidence of gestational diabetes mellitus in the U.S. is high—between 3 and 7 percent—and rising. The condition is often complicated by other risk factors such as obesity and heart disease. The Textbook of Diabetes and Pregnancy presents a comprehensive review of the science, clinical management, and medical implications of gestational diabetes mellitus, a condition with serious consequences that is on the increase in all developed societies. This new edition supports the latest initiatives and strategies of the International Federation of Gynecology and Obstetrics (FIGO) and adds chapters on noncommunicable diseases, obesity, bariatric surgery, and epidemiology outside Western cultures. Written by a cadre of experts, the book provides a comprehensive, authoritative, and international view of gestational diabetes mellitus and will be invaluable to maternal-fetal medicine specialists, diabetologists, neonatologists, and a growing number of gynecologists and general physicians concerned with the management of noncommunicable diseases in pregnancy.
This is a comprehensive guide to the primary care of women with diabetes, both during pregnancy and at other stages of the life cycle.
Author: E. Albert Reece
Publisher: Lippincott Williams & Wilkins
This is a comprehensive guide to the primary care of women with diabetes, both during pregnancy and at other stages of the life cycle. The book provides information on the best drug treatment options and on dietary management, patient education, genetics, perinatal counselling, diabetes prevention, and long-term care of complications.
Offers a single resource for American Diabetes Association standards of care for pregnant women with preexisting diabetes - type 1 (DM1) or type 2 (DM2).
Author: John Kitzmiller
Publisher: American Diabetes Association
Category: Health & Fitness
Offers a single resource for American Diabetes Association standards of care for pregnant women with preexisting diabetes - type 1 (DM1) or type 2 (DM2). It providers up-to-date recommendations and treatment protocols for the management of diabetes and pregnancy to researchers, academic physicians, and clinicians who deal with the broad spectrum of problems.
The text also explores recent controversies and examines thorny political pressures. The manual's treatment recommendations are based on the latest research to ensure pregnant women with diabetes receive the best possible care.
Author: David McCance
Publisher: John Wiley & Sons
The revised and updated second edition of a multidisciplinary, evidence-based clinical guide for the care of pregnant women with diabetes The second edition of A Practical Manual of Diabetes in Pregnancy offers a wealth of new evidence, new material, new technologies, and the most current approaches to care. With contributions from a team of international experts, the manual is highly accessible and comprehensive in scope. It covers topics ranging from preconception to postnatal care, details the risks associated with diabetic pregnancy, and the long-term implications for the mother and baby. The text also explores recent controversies and examines thorny political pressures. The manual’s treatment recommendations are based on the latest research to ensure pregnant women with diabetes receive the best possible care. The text takes a multi-disciplinary approach that reflects best practice in the treatment of diabetes in pregnancy. The revised second edition includes: New chapters on the very latest topics of interest Contributions from an international team of noted experts Practical, state-of-the-art text that has been fully revised with the latest in clinical guidance Easy-to-read, accessible format in two-color text design Illustrative case histories, practice points, and summary boxes, future directions, as well as pitfalls and what to avoid boxes Multiple choice questions with answers in each chapter Comprehensive and practical, the text is ideal for use in clinical settings for reference by all members of the multi-disciplinary team who care for pregnant women with diabetes. The manual is also designed for learning and review purposes by trainees in endocrinology, diabetes, and obstetrics.
This book gives moms-to-be practical, easy-to-follow, and reassuring advice to successfully manage diabetes during the nine months of pregnancy. It answers common questions such as: Can I have a healthy pregnancy if I have diabetes?
Author: Marina Chapparo
Category: Health & Fitness
A practical, down-to-earth guide to managing diabetes and pregnancy from an educator, nutrition professional, and mother living with diabetes. Diabetes during pregnancy can be a scary experience for women, whether they are diagnosed with gestational diabetes or have been living type 1 or type 2 diabetes for years. This book gives moms-to-be practical, easy-to-follow, and reassuring advice to successfully manage diabetes during the nine months of pregnancy. It answers common questions such as: Can I have a healthy pregnancy if I have diabetes? What can I eat? How do I keep blood sugars in target? What are the best tools to use to help me manage my diabetes? Managing diabetes during a pregnancy can be overwhelming, but with the practical advice from the trusted experts at the American Diabetes Association found in Pregnancy & Diabetes, moms-to-be get the advice they need for a successful pregnancy and a happy, healthy baby!
In Grit Pregnancies: How to Have a Healthy Pregnancy and Normal Blood Sugars with Type 1 Diabetes, Allison Herschede teaches you that it's not diabetes that puts pregnancy at risk, but high blood sugars.
Author: Allison M Herschede
For many years, type 1 diabetic women were told that they shouldn't have babies. With today's technology and innovations, type 1 diabetics can have healthy babies, but they are still considered "high risk". In Grit Pregnancies: How to Have a Healthy Pregnancy and Normal Blood Sugars with Type 1 Diabetes, Allison Herschede teaches you that it's not diabetes that puts pregnancy at risk, but high blood sugars. She shares how to prevent them, correct them, and minimize hypoglycemia at the same time. Using Dr. Richard K. Bernstein's principals from his book Dr. Bernstein's Diabetes Solution, Allison shows the reader how it is indeed possible for type 1 diabetic women to have healthy pregnancies and truly normal blood sugars.
This is a personal account of one diabetic's experience and does not offer any medical advice. This memoir captures the thoughts and emotions of the author during her first T1D pregnancy.
Author: Kendra Perley
In this memoir, get personal insight into Kendra's pregnancy as a type 1 diabetic. In search of information on what pregnancy entails for a type 1 diabetic mother, Kendra set out on documenting her own experience during her pregnancy. Touching on topics such as insulin resistance, perinatologist visits, and managing tight HbA1c levels, Kendra hopes her experience connects with other type 1 diabetic mothers and provides some insight on what to expect. This is a personal account of one diabetic's experience and does not offer any medical advice. This memoir captures the thoughts and emotions of the author during her first T1D pregnancy.
The prevalence of preeclampsia (PE), a pregnancy-specific hypertensive disorder, is significantly higher in women with type 1 diabetes mellitus (T1DM) than in non-diabetic women.
Author: Arpita Basu
Publisher: Elsevier Inc. Chapters
The prevalence of preeclampsia (PE), a pregnancy-specific hypertensive disorder, is significantly higher in women with type 1 diabetes mellitus (T1DM) than in non-diabetic women. Observational studies, mostly cross-sectional in non-diabetic women, have associated higher levels of oxidative stress and lower antioxidant enzymes and vitamins in PE cases versus controls. The prospective study reported by our group is the first to correlate α- and β-carotene deficiencies in pregnant T1DM women with subsequent development of PE. Among antioxidant nutrients of interest in PE, vitamins C and E have been most extensively studied in experimental models and clinical trials. The largest clinical trial on vitamins C and E supplementation in women with T1DM revealed no overall reduction in risk for PE, but a significant reduction was found in the subgroup of women with low baseline levels of these vitamins. Emerging research shows potential effects for l-arginine, a combination of B vitamins and trace minerals, and vitamin D in reducing risk for PE, although their effects in pregnancies complicated by diabetes remain to be clarified.
Background: Excellent glycemic control before and during pregnancy complicated by type 1 diabetes (T1DM) are important to limit number of poor obstetric and neonatal outcomes.
Author: Izabela Lason
Background: Excellent glycemic control before and during pregnancy complicated by type 1 diabetes (T1DM) are important to limit number of poor obstetric and neonatal outcomes. The aim of the study was to assessed pregnancy outcome of pregnant T1DM women treated three different methods: sensor augmented pump (SAP), pumps with predictive low-glucose insulin suspend (640G) or multiple daily insulin injection (MDI).Materials and Methods: We analyzed medical records of 81 pregnant T1DM women, treated: SAP therapy (n=56), 640G (n=14) or MDI (n=11). CGM were used by 13/14 (93%) women 640G group, 15/56(27%) SAP group and 0/11(0%) MDI group. We analyzed of glycemic control as assessed by the HbA1c level, pregnancy outcomes. Results: The statistically lower level of HbA1c was observed in 640G group as compare with SAP and MDI group, before pregnancy (6.0% vs 6.5% (p=0.31) vs 6.9% (p=0.089), respectively, at the 1st trimester (5.7% vs 6.1% (p=0.39) vs 6.8% (p=0.0007); during 2nd (5.1% vs 5.6% (p=0.042) vs 5.7% (p=0.0025); 3rd trimester (5.2% vs 5.7% (p=0.022) vs 6.1% (p=0.0038). We observed higher frequency of macrosomia in MDI group (respectively 640G 14%, SAP 26% and MDI 37%; p=0.77). In 640G group we found statistically lower frequency of composite pregnancy outcome (macrosomia, SGA, fetal malformations, end of pregnancy before 37 weeks) as compared with SAP and MDI, respectively: 21% vs 50% vs 64%; p=0.07. Conclusions: The observation shows the effectiveness of the predictive low-glucose suspend (640G) insulin pump during pregnancy in diabetic women in achieving the glycemic target and improvement of pregnancy outcomes.
Providing clinicians with the latest developments in research, this new edition of Type 1 Diabetes is a succinct and practical guide to the diagnosis, evaluation, and management of Type 1 diabetes.
Author: David Levy
Publisher: Oxford University Press
Providing clinicians with the latest developments in research, this new edition of Type 1 Diabetes is a succinct and practical guide to the diagnosis, evaluation, and management of Type 1 diabetes. Part of the Oxford Diabetes Library series, this pocketbook contains 12 fully updated chapters on key topics such as history, epidemiology, aetiology, presentation, insulin treatment, and microvascular and macrovascular complications. It also features new chapters on technology, diet and lifestyle, and pregnancy planning to ensure the reader is fully equipped with the latest understanding of Type 1 diabetes.
Author: American Diabetes AssociationPublish On: 2000
Coverage includes protocols for women with type 1 and 2 and gestational diabetes. In addition, there are current nutrition recommendations for medical nutrition therapy for pregnant women with diabetes.
Author: American Diabetes Association
Publisher: Amer Diabetes Assn
A popular clinical reference book that is ideal for the practitioner who wants a complete package of protocols for pregnancies complicated by diabetes that result in healthy infants. Coverage includes protocols for women with type 1 and 2 and gestational diabetes. In addition, there are current nutrition recommendations for medical nutrition therapy for pregnant women with diabetes. Contents include chapters on: Pregnancy Counseling Contraception Psychological Impact of Diabetes and Pregnancy Monitoring Morning Sickness Nutritional Management Use of Insulin Diagnostic Testing and Fetal Surveillance Gestational Diabetes Neonatal Care of Infants GDM Postpartum Follow-Up
Balancing Pregnancy with Pre-Existing Diabetes explains exactly how to have the healthiest pregnancy possible while balancing the rigors of insulin, diet, exercise, and blood sugar control that are the foundation of diabetes management.
Author: Cheryl Alkon
Publisher: Demos Medical Publishing
Category: Health & Fitness
A down-to-earth insiderís guide to a healthy pregnancy with diabetes Thinking about having a baby but worried about your type 1 or type 2 diabetes? Thereís a reason for concern: uncontrolled diabetes can lead to health complications for both women and their children. But keeping a tight rein on your blood sugarsóbefore and during pregnancyócan help reduce if not eliminate the risks. Balancing Pregnancy with Pre-Existing Diabetes explains exactly how to have the healthiest pregnancy possible while balancing the rigors of insulin, diet, exercise, and blood sugar control that are the foundation of diabetes management. Author Cheryl Alkon has lived with type 1 diabetes for more than 30 years, and brings a wealth of understanding to the subject. Including the insights of more than 50 women with diabetes and leading medical experts, as well as the latest scientific research, Balancing Pregnancy with Pre-Existing Diabetes covers: Finding the right doctor Pre-pregnancy planning The first, second, and third trimesters Labor and delivery Managing your health needs with those of your child Infertility and pregnancy loss With this myth-busting resource, youíll be armed with the essential information, hope, and inspiration you need for a healthy pregnancy.