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Review
. 2016 May;16(5):36.
doi: 10.1007/s11892-016-0733-7.

Management of Pregnant Women with Type 2 Diabetes Mellitus and the Consequences of Fetal Programming in Their Offspring

Diane C Berry  1 , Kim Boggess  2 , Quinetta B Johnson  2
Affiliations
Review

Management of Pregnant Women with Type 2 Diabetes Mellitus and the Consequences of Fetal Programming in Their Offspring

Diane C Berry et al. Curr Diab Rep. 2016 May.

Abstract

The obesity epidemic has fueled an epidemic of prediabetes and type 2 diabetes mellitus in women of childbearing age. This paper examines the state of the science on preconception and pregnancy management of women with type 2 diabetes to optimize outcomes for the women and their infants. In addition, the consequence of fetal programming as a result of suboptimal maternal glycemic control is discussed. The paper focuses on type 2 diabetes, not type 1 diabetes or gestational diabetes. Management of women with type 2 diabetes includes preconception counseling, preconception weight management and weight loss, proper weight gain during pregnancy, self-monitoring of blood glucose levels, medication, medical nutrition therapy, and exercise.

Keywords: Fetal programming; Poor glycemic control; Pregnancy; Type 2 diabetes.

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