The Australasian Diabetes in Pregnancy Society consensus guidelines for the management of type 1 and type 2 diabetes in relation to pregnancy

Strict control of blood glucose levels should be pursued before conception and maintained throughout the pregnancy (glycohaemoglobin [HbA1c] level as close as possible to the reference range). Before conception: ➢high‐dose (5 mg daily) folate supplementation should be commenced; ➢oral hypoglycaemic...

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Bibliographic Details
Published in:Medical journal of Australia 2005-10, Vol.183 (7), p.373-377
Main Authors: McElduff, Aidan, Cheung, N Wah, McIntyre, H David, Lagström, Janet A, Walters, Barry N J, Oats, Jeremy J N, Wein, Peter, Ross, Glynis P, Simmons, David
Format: Article
Language:English
Subjects:
Antihypertensive Agents - therapeutic use
Australia
Biological and medical sciences
Blood Glucose - metabolism
Blood Glucose Self-Monitoring - standards
Cardiovascular disease
Congenital diseases
Counseling
Creatinine
Delivery, Obstetric - standards
Diabetes
Diabetes Complications - prevention & control
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - therapy
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - therapy
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrine system diseases
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Fasting
Female
General aspects
Glucose
Humans
Hypoglycemia
Hypoglycemic Agents - therapeutic use
Hypolipidemic Agents - therapeutic use
Insulin - therapeutic use
Insulin resistance
Medical sciences
Mortality
Multidisciplinary teams
Obstetrics
Obstetrics - standards
Postnatal Care - standards
Preconception Care - standards
Pregnancy
Pregnancy in Diabetics - blood
Pregnancy in Diabetics - therapy
Prenatal Care - standards
Women's health
Womens health
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Summary:Strict control of blood glucose levels should be pursued before conception and maintained throughout the pregnancy (glycohaemoglobin [HbA1c] level as close as possible to the reference range). Before conception: ➢high‐dose (5 mg daily) folate supplementation should be commenced; ➢oral hypoglycaemic agents should be ceased; and ➢diabetes complications screening should take place. Management should be by a multidisciplinary team experienced in the management of diabetes in pregnancy. Blood glucose monitoring is mandatory during pregnancy, and targets are: fasting 4.0–5.5 mmol/L; postprandial
ISSN:0025-729X
1326-5377
DOI:10.5694/j.1326-5377.2005.tb07087.x