J Korean Diabetes.  2015 Sep;16(3):198-204. 10.4093/jkd.2015.16.3.198.

Nursing Management in Diabetes during Pregnancy

• Park JE

• KMID: 2149290
• DOI: http://doi.org/10.4093/jkd.2015.16.3.198

Abstract

The ongoing epidemics of obesity and diabetes have led to higher incidence of gestational diabetes mellitus and pregestational diabetes. GDM is diabetes diagnosed in the second or third trimester of pregnancy that is not clearly overt diabetes. Therefore, women in whom diabetes is detected in the first trimester would be classified as having type 2 diabetes. Women with GDM should be screened for persistent diabetes or prediabetes at 6~12 weeks postpartum. All women of childbearing age with diabetes should be counseled about the importance of strict glycemic control prior to conception. During pregnancy, treatment with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers is contraindicated because their ability to cause fetal damage. Women with diabetes of any kind should be supported in attempts to breastfeed, as it is related to long-term metabolic benefit to both mother and child.

Keyword

Diabetes mellitus; Nursing care; Pregnancy

MeSH Terms

Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors
Child
Diabetes Mellitus
Diabetes, Gestational
Female
Fertilization
Humans
Incidence
Mothers
Nursing Care
Nursing*
Obesity
Postpartum Period
Prediabetic State
Pregnancy Trimester, First
Pregnancy Trimester, Third
Pregnancy*
Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors

Reference

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