Sinopsis
One hundred years ago the medical literature on diabetic pregnancy was very limited. Pregnancy itself was no less frequent, but the outcome was affected by so many other major problems that the influence of a medical disorder of a chronic nature was both unrecognized and disregarded. Diabetes mellitus was also less prevalent, due both to demographic differences in the age of the population and to epidemiological factors – mainly the absence of any effective treatment so that young people with diabetes had a life expectancy of only a few years. The diagnosis of diabetes depended on the demonstration of sugar in the urine and the well-known symptoms of thirst, polyuria and weight loss, but there was no accurate measurement to assess severity, and the distinction between what are now known as Type 1 and Type 2 diabetes was only anecdotal. There was no documentation of the specific long-term complications of hyperglycemia in the eyes, nerves, heart, kidneys or blood vessels.
Content
- History of diabetic pregnancy
- The Priscilla White legacy
- The Pedersen legacy
- The Freinkel legacy
- Metabolism in normal pregnancy
- Intermediary metabolism in pregnancies complicated by gestational diabetes
- Histopathology of placenta
- The placenta in diabetic pregnancy: Placental transfer of nutrients
- Nutrient delivery and metabolism in the fetus
- Pathogenesis of gestational diabetes mellitus
- Fetal growth in normal and diabetic pregnancies
- Pregnancy in diabetic animals
- Immunology of gestational diabetes mellitus
- Gestational diabetes: The consequences of not-treating
- Epidemiology of gestational diabetes mellitus
- Gestational diabetes in Latin America
- Diabetes and pregnancy in advancing nations: India
- Diabetes and pregnancy in New Zealand
- Gestational diabetes in China
- Diabetes and pregnancy in Japan
- Detection and diagnostic strategies for gestational diabetes mellitus
- Diabetic embryopathy in the pre-implantation embryo
- Congenital malformations in diabetic pregnancy: Prevalence and types
- Post-implantation diabetic embryopathy
- Management of gestational diabetes mellitus
- Medical nutritional therapy for gestational diabetes mellitus
- Insulin therapy in pregnancy
- Oral anti-diabetic agents in pregnancy: Their time has come
- Continuous glucose monitoring during pregnancies complicated by diabetes mellitus
- Insulin pumps in pregnancy
- Artificial pancreas and pregnancy: Closing the loop
- Hypoglycemia in diabetic pregnancy
- Sonography in diabetic pregnancies
- Diabetes in pregnancy: Is Doppler useful?
- Fetal lung maturity
- Monitoring in labor
- Timing and mode of delivery
- Prevention of fetal macrosomia
- Timing and delivery of the macrosomic infant: Induction versus conservative management
- Management of the macrosomic fetus
- Hypertensive disorders and diabetic pregnancy
- Diabetic retinopathy
- Diabetic vascular complications in pregnancy: Nephropathy
- Diabetic ketoacidosis in pregnancy
- Gestational diabetes in multiple pregnancies
- Thyroid diseases in pregnancy
- Short-term implications: The neonate
- Long-term implications: Child and adult
- Growth and neurodevelopment of children born to diabetic mothers and to mothers with gestational diabetes
- Diabetes mellitus and the metabolic syndrome after gestational diabetes
- Evidence-based medicine and diabetic pregnancy
- Cost analysis of diabetes and pregnancy
- Quality of care for the woman with diabetes in pregnancy
- Ethical issues in management of pregnancy complicated by diabetes
- Legal aspects of diabetic pregnancy
- Diabetologic education in pregnancy
- Databases: A tool for quality management of diabetic pregnancies
- Introduction to technological disease-management tools and eHealth networks: The future of better care delivery in diabetes and pregnancy
- Optimal contraception for the diabetic woman
- Hormone replacement therapy and diabetes
- The genetics of diabetic pregnancy
- The integration of compliance, communication and culture to enhance health care delivery
- Diabetes and infertility
- Early pregnancy loss and perinatal mortality
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