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Obstetric Medicine

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Obstet Med 2008;1:72-77
doi:10.1258/om.2008.080007
© 2008 Royal Society of Medicine Press

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Review articles

Type 2 diabetes in pregnancy: importance of optimized care before, during and after pregnancy

E Keely MD FRCPC   

Department of Medicine and Obstetrics/Gynaecology, University of Ottawa, Ottawa Hospital, Ottawa, ON, Canada

Correspondence to: Erin Keely, Department of Medicine and Obstetrics/Gynaecology, University of Ottawa, Ottawa Hospital, Riverside Campus Box 215, 1967 Riverside Door, Ottawa, ON, Canada K1H 7W9 Email: ekeely{at}ottawahospital.on.ca

Women with Type 2 diabetes (T2DM) are an increasingly important part of the practice of obstetric medicine. The rising rates of obesity and advanced maternal age have resulted in a surge in the number of pregnant women with T2DM. The hyperglycaemia and associated conditions of the metabolic syndrome lead to poor obstetric outcome and impact on the long-term health of the mother and offspring. It is essential that women and care-givers recognize the seriousness of T2DM in pregnancy and strive to improve prepregnancy care, obstetric outcome and the long-term health of both the mother and child.

Key Words: diabetes • prepregnancy • glycaemic control


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