Pre-existing (type 1 and type 2) diabetes in pregnancy

Chaudry, R.; Gilby, P.; Carroll, P.V.

doi:10.1016/j.ogrm.2007.09.001

« Previous Next »Obstetrics, Gynaecology and Reproductive Medicine
Volume 17, Issue 12 , Pages 339-344, December 2007

Pre-existing (type 1 and type 2) diabetes in pregnancy

R Chaudry MBChB BSc (MedSci) Hons MRCP is SpR in Diabetes & Endocrinology, Department of Diabetes & Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK

P Gilby RGN INP is Diabetes Nurse Specialist, Department of Diabetes & Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK

P V Carroll MD MA MRCPI FRCP is Consultant Physician, Department of Diabetes & Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK

Abstract

The prevalence rates of both type 1 and type 2 diabetes mellitus are increasing in the UK. These rates are resulting in a higher number of women with pregnancy complicated by pre-existing diabetes being seen in maternity clinics. Specifically, there is a continuing marked increase in the number of women with type 2 diabetes and pregnancy. Confidential Enquiry into Maternal and Child Health (CEMACH) has recently reported findings from a large study of pregnancy outcome in women with type 1 and type 2 diabetes. We review the current understanding of diabetes in pregnancy, and discuss the CEMACH findings and current and future developments in the delivery of pre-conception and diabetes care in established pregnancy in the UK.

Keywords: complications, CEMACH, diabetes, management, NICE, pregnancy, structured care