Management of type 2 diabetes in pregnancy: a narrative review

The prevalence of type 2 diabetes (T2DM) at reproductive age is rising. Women with T2DM have a similarly high risk for pregnancy complications as pregnant women with type 1 diabetes. To reduce adverse pregnancy and neonatal outcomes, such as preeclampsia and preterm delivery, a multi-target approach...

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Detalles Bibliográficos
Autores principales: Raets, Lore, Ingelbrecht, Anne, Benhalima, Katrien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Endocrinology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402739/
https://www.ncbi.nlm.nih.gov/pubmed/37547311
http://dx.doi.org/10.3389/fendo.2023.1193271
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author Raets, Lore
Ingelbrecht, Anne
Benhalima, Katrien
author_facet Raets, Lore
Ingelbrecht, Anne
Benhalima, Katrien
author_sort Raets, Lore
collection PubMed
description The prevalence of type 2 diabetes (T2DM) at reproductive age is rising. Women with T2DM have a similarly high risk for pregnancy complications as pregnant women with type 1 diabetes. To reduce adverse pregnancy and neonatal outcomes, such as preeclampsia and preterm delivery, a multi-target approach is necessary. Tight glycemic control together with appropriate gestational weight gain, lifestyle measures, and if necessary, antihypertensive treatment and low-dose aspirin is advised. This narrative review discusses the latest evidence on preconception care, management of diabetes-related complications, lifestyle counselling, recommendations on gestational weight gain, pharmacologic treatment and early postpartum management of T2DM.
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spelling pubmed-104027392023-08-05 Management of type 2 diabetes in pregnancy: a narrative review Raets, Lore Ingelbrecht, Anne Benhalima, Katrien Front Endocrinol (Lausanne) Endocrinology The prevalence of type 2 diabetes (T2DM) at reproductive age is rising. Women with T2DM have a similarly high risk for pregnancy complications as pregnant women with type 1 diabetes. To reduce adverse pregnancy and neonatal outcomes, such as preeclampsia and preterm delivery, a multi-target approach is necessary. Tight glycemic control together with appropriate gestational weight gain, lifestyle measures, and if necessary, antihypertensive treatment and low-dose aspirin is advised. This narrative review discusses the latest evidence on preconception care, management of diabetes-related complications, lifestyle counselling, recommendations on gestational weight gain, pharmacologic treatment and early postpartum management of T2DM. Frontiers Media S.A. 2023-07-21 /pmc/articles/PMC10402739/ /pubmed/37547311 http://dx.doi.org/10.3389/fendo.2023.1193271 Text en Copyright © 2023 Raets, Ingelbrecht and Benhalima https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Raets, Lore
Ingelbrecht, Anne
Benhalima, Katrien
Management of type 2 diabetes in pregnancy: a narrative review
title Management of type 2 diabetes in pregnancy: a narrative review
title_full Management of type 2 diabetes in pregnancy: a narrative review
title_fullStr Management of type 2 diabetes in pregnancy: a narrative review
title_full_unstemmed Management of type 2 diabetes in pregnancy: a narrative review
title_short Management of type 2 diabetes in pregnancy: a narrative review
title_sort management of type 2 diabetes in pregnancy: a narrative review
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402739/
https://www.ncbi.nlm.nih.gov/pubmed/37547311
http://dx.doi.org/10.3389/fendo.2023.1193271
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