Frontiers in Endocrinology (Jul 2023)

Management of type 2 diabetes in pregnancy: a narrative review

  • Lore Raets,
  • Anne Ingelbrecht,
  • Katrien Benhalima

DOI
https://doi.org/10.3389/fendo.2023.1193271
Journal volume & issue
Vol. 14

Abstract

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The prevalence of type 2 diabetes (T2DM) at reproductive age is rising. Women with T2DM have a similarly high risk for pregnancy complications as pregnant women with type 1 diabetes. To reduce adverse pregnancy and neonatal outcomes, such as preeclampsia and preterm delivery, a multi-target approach is necessary. Tight glycemic control together with appropriate gestational weight gain, lifestyle measures, and if necessary, antihypertensive treatment and low-dose aspirin is advised. This narrative review discusses the latest evidence on preconception care, management of diabetes-related complications, lifestyle counselling, recommendations on gestational weight gain, pharmacologic treatment and early postpartum management of T2DM.

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