September 27, 2016
ICD-10:
XV
Pregnancy, childbirth and the puerperium
XV.O20-O29.O24.9
Diabetes mellitus during pregnancy, unspecified
IV.E10-E14.E10
Insulin-dependent diabetes mellitus
Diabetes mellitus type I, pregnancy, pregast diabetes, obstetrics and gynecology, endocrinology, treatment algorithm
Management of patients with type 1 diabetes mellitus during pregnancy is a very difficult task forobstetrician-gynecologist and endocrinologist. In the past, before the advent of effective insulin therapy, most patients with this diagnosis were infertile. If a woman still managed to conceive a child, the frequency of intrauterine and neonatal mortality reached 60%. However, as a result of the development of insulin therapy and neonatal resuscitation, this figure has decreased to today by 2-5%. The material presents an algorithm for conducting such patients according to modern world recommendations.
Note:Roberto Vargas, S. (2010). Type 1 Diabetes Mellitus and Pregnancy. Reviews in Obstetrics and Gynecology, [online] 3 (3), p.92.
Ringholm, L., Mathiesen, E., Kelstrup, L. and Damm, P. (2012). Managing type 1 diabetes mellitus in pregnancy-from planning to breastfeeding. Nature Reviews Endocrinology, 8 (11), pp.659-667.