Diabetes-complicated Pregnancies Research Articles

Home Blood Glucose Monitoring in the Pregnant Diabetic

The careful control of the maternal blood glucose levels reduces complications in the newborn. HBGM has the additional value of reducing the need for emergency care for diabetic ketoacidosis or insulin shock, because morbid trends often are reversed before they become serious. Certainly, the advent of simple techniques for home blood glucose monitoring is a major step forward in the effort to improve the outcome of diabetes complicated pregnancies.

SUBCLINICAL AND CLINICAL DIABETES COMPLICATING PREGNANCY.

Evidence shows that untreated maternal diabetes results in a high stillbirth rate and a neonatal mortality of approximately 30 per cent.A diabetic detection program for gravid women has not been accepted because of differing opinions on the effects of pregnancy on carbohydrate tolerance in normal women and on the most reliable testing method to be used during gestation.The oral glucose tolerance test is the most widely employed. It is suggested that in addition the cortisone-modified glucose tolerance test should be used in the late puerperium of patients in the suspect and latent diabetes groups.Clinical observations in diabetic pregnancies discussed by the author include increased insulin resistance and susceptibility to toxemia and urinary tract infection, effects of maternal diabetes on the fetus, and optimal timing and mode of delivery.

Liebmann, S.: The Course of Diabetes Complicating Pregnancy and Labor: Monatsch. f. Geburtsh. u. Gynäk. 91: 398, 1932

Liebmann, S.: The Course of Diabetes Complicating Pregnancy and Labor: Monatsch. f. Geburtsh. u. Gynäk. 91: 398, 1932