Abstract

This paper is presented as a practical guide to the management of pregnant diabetics. The essence of a successful outcome depends on four factors: 1) early diagnosis of the concomitant conditions of pregnancy and diabetes; 2) adequate control of the diabetes; 3) planned termination of the pregnancy but not necessarily prior to term; 4) team approach to management including obstetrician, internist and pediatrician. Some comments about diabetes mellitus are made regarding: history, pathophysiology, value of glucose tolerance tests, dietary management and preferred methods of delivery.

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