{"id":3157,"date":"2023-12-23T20:04:14","date_gmt":"2023-12-23T14:34:14","guid":{"rendered":"https:\/\/eliteayurveda.com\/blog\/?p=3157"},"modified":"2024-12-19T12:21:01","modified_gmt":"2024-12-19T06:51:01","slug":"im-a-diabetic-what-problems-will-i-face-during-pregnancy","status":"publish","type":"post","link":"https:\/\/eliteayurveda.com\/blog\/im-a-diabetic-what-problems-will-i-face-during-pregnancy\/","title":{"rendered":"I&#8217;m a diabetic. What problems will I face during pregnancy?"},"content":{"rendered":"\n<p><strong>I\u2019m a Diabetic: What Problems Will I Face During Pregnancy?<\/strong><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of Contents<\/h2><nav><ul><li><a href=\"#the-unique-challenges-faced-by-diabetic-mothers\">The Unique Challenges Faced by Diabetic Mothers<\/a><ul><li><a href=\"#1-blood-sugar-fluctuations\">1. Blood Sugar Fluctuations<\/a><\/li><li><a href=\"#2-risk-of-gestational-hypertension-and-preeclampsia\">2. Risk of Gestational Hypertension and Preeclampsia<\/a><\/li><li><a href=\"#3-macrosomia-large-baby\">3. Macrosomia (Large Baby)<\/a><\/li><li><a href=\"#4-preterm-birth\">4. Preterm Birth<\/a><\/li><li><a href=\"#5-neonatal-complications\">5. Neonatal Complications<\/a><\/li><li><a href=\"#6-risk-of-miscarriage-or-stillbirth\">6. Risk of Miscarriage or Stillbirth<\/a><\/li><li><a href=\"#7-long-term-health-risks\">7. Long-Term Health Risks<\/a><\/li><\/ul><\/li><li><a href=\"#how-ayurveda-can-support-diabetic-mothers-during-pregnancy\">How Ayurveda Can Support Diabetic Mothers During Pregnancy<\/a><ul><li><a href=\"#1-stabilizing-blood-sugar-levels\">1. Stabilizing Blood Sugar Levels<\/a><\/li><li><a href=\"#2-supporting-hormonal-balance\">2. Supporting Hormonal Balance<\/a><\/li><li><a href=\"#3-promoting-fetal-health\">3. Promoting Fetal Health<\/a><\/li><li><a href=\"#4-managing-pregnancy-complications\">4. Managing Pregnancy Complications<\/a><\/li><li><a href=\"#5-preparing-for-labor-and-delivery\">5. Preparing for Labor and Delivery<\/a><\/li><\/ul><\/li><li><a href=\"#emotional-support-coping-with-anxiety-and-stress\">Emotional Support: Coping with Anxiety and Stress<\/a><\/li><li><a href=\"#why-choose-ayurveda-for-diabetic-pregnancy\">Why Choose Ayurveda for Diabetic Pregnancy?<\/a><\/li><li><a href=\"#key-takeaways\">Key Takeaways<\/a><\/li><li><a href=\"#conclusion\">Conclusion<\/a><\/li><li><a href=\"#references\">References<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<p>Pregnancy is a beautiful journey, but for women with diabetes, it can bring unique challenges that require careful management. Diabetes, whether pre-existing (Type 1 or Type 2) or gestational, introduces potential risks to both the mother and the baby. However, with proper planning, medical care, and lifestyle adjustments, these risks can be managed effectively to ensure a healthy pregnancy and delivery (American Diabetes Association, 2023; WHO, 2016).<\/p>\n\n\n\n<div class=\"wp-block-cover\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"830\" height=\"513\" class=\"wp-block-cover__image-background wp-image-5173\" alt=\"What Problems Diabetes Face During Pregnancy\" src=\"https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food.jpg 830w, https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food-300x185.jpg 300w, https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food-768x475.jpg 768w, https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food-696x430.jpg 696w, https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food-680x420.jpg 680w, https:\/\/eliteayurveda.com\/blog\/wp-content\/uploads\/2023\/12\/img-gestational-diabetes-food-356x220.jpg 356w\" sizes=\"auto, (max-width: 830px) 100vw, 830px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-center has-large-font-size\">What Problems Diabetes Face During Pregnancy<\/p>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"the-unique-challenges-faced-by-diabetic-mothers\"><strong>The Unique Challenges Faced by Diabetic Mothers<\/strong><\/h3>\n\n\n\n<p>For diabetic women, pregnancy often feels like walking a tightrope. Beyond the joy of expecting a baby, there\u2019s the constant concern about fluctuating blood sugar levels and their impact on the developing child. Here are some common issues diabetic women might face during pregnancy (Reece &amp; Coustan, 2004; Balaji et al., 2010):<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"1-blood-sugar-fluctuations\"><strong>1. Blood Sugar Fluctuations<\/strong><\/h4>\n\n\n\n<p>Maintaining stable blood sugar levels becomes more challenging during pregnancy due to hormonal changes that can cause insulin resistance. These fluctuations can lead to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hyperglycemia (high blood sugar):<\/strong> Increases the risk of birth defects during the first trimester and complications like preeclampsia in later stages.<\/li>\n\n\n\n<li><strong>Hypoglycemia (low blood sugar):<\/strong> Common in early pregnancy, it can cause dizziness, confusion, or fainting, posing risks to both mother and baby.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"2-risk-of-gestational-hypertension-and-preeclampsia\"><strong>2. Risk of Gestational Hypertension and Preeclampsia<\/strong><\/h4>\n\n\n\n<p>High blood sugar levels increase the risk of high blood pressure during pregnancy. If unmanaged, this can lead to preeclampsia, a condition characterized by high blood pressure and organ damage, posing serious risks to both mother and baby (Teede et al., 2018).<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"3-macrosomia-large-baby\"><strong>3. Macrosomia (Large Baby)<\/strong><\/h4>\n\n\n\n<p>Uncontrolled diabetes can cause excessive glucose transfer to the baby, leading to increased fetal growth. This condition, known as macrosomia, raises the risk of:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Difficult labor and delivery.<\/li>\n\n\n\n<li>Need for cesarean delivery.<\/li>\n\n\n\n<li>Birth injuries for the baby.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"4-preterm-birth\"><strong>4. Preterm Birth<\/strong><\/h4>\n\n\n\n<p>Diabetic mothers are at higher risk of preterm labor, which can lead to complications such as respiratory distress syndrome and underdeveloped organs in the baby (Balaji et al., 2010).<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"5-neonatal-complications\"><strong>5. Neonatal Complications<\/strong><\/h4>\n\n\n\n<p>Babies born to diabetic mothers may experience:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hypoglycemia (low blood sugar) immediately after birth.<\/li>\n\n\n\n<li>Jaundice.<\/li>\n\n\n\n<li>Increased risk of developing obesity or Type 2 diabetes later in life.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"6-risk-of-miscarriage-or-stillbirth\"><strong>6. Risk of Miscarriage or Stillbirth<\/strong><\/h4>\n\n\n\n<p>If blood sugar levels are not well-controlled, there is an increased risk of pregnancy loss during any trimester (Reece &amp; Coustan, 2004).<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"7-long-term-health-risks\"><strong>7. Long-Term Health Risks<\/strong><\/h4>\n\n\n\n<p>Both mother and baby are at a higher risk of developing chronic conditions later in life:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The baby may develop obesity or Type 2 diabetes.<\/li>\n\n\n\n<li>The mother may experience worsening diabetes or other complications if not managed properly.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"how-ayurveda-can-support-diabetic-mothers-during-pregnancy\"><strong>How Ayurveda Can Support Diabetic Mothers During Pregnancy<\/strong><\/h3>\n\n\n\n<p>Ayurveda, the ancient Indian system of holistic healing, offers a natural and personalized approach to managing diabetes during pregnancy. It focuses on balancing the body, enhancing digestion, and supporting both mother and baby for a healthy pregnancy (Frawley, 2000; Lad, 2002; Pole, 2013).<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"1-stabilizing-blood-sugar-levels\"><strong>1. Stabilizing Blood Sugar Levels<\/strong><\/h4>\n\n\n\n<p>Ayurveda emphasizes managing blood sugar levels through:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Personalized Herbal Medications:<\/strong> Tailored formulations help regulate blood sugar naturally without harmful side effects.<\/li>\n\n\n\n<li><strong>Dietary Adjustments:<\/strong> A focus on balanced meals that include low-glycemic index foods, whole grains, and fresh vegetables to stabilize glucose levels.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"2-supporting-hormonal-balance\"><strong>2. Supporting Hormonal Balance<\/strong><\/h4>\n\n\n\n<p>Pregnancy-related hormonal changes can worsen insulin resistance. Ayurveda uses:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hormone-Balancing Herbs:<\/strong> To support a stable hormonal environment.<\/li>\n\n\n\n<li><strong>Stress Management:<\/strong> Techniques like yoga, meditation, and Pranayama (breathing exercises) reduce cortisol levels, improving insulin sensitivity (Chrousos, 2009).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"3-promoting-fetal-health\"><strong>3. Promoting Fetal Health<\/strong><\/h4>\n\n\n\n<p>Ayurveda prioritizes the health of the growing baby through:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rasayana Therapies (Rejuvenation):<\/strong> Strengthen maternal health and ensure proper fetal development.<\/li>\n\n\n\n<li><strong>Garbhini Paricharya (Pregnancy Care):<\/strong> Guidelines for diet, lifestyle, and mental well-being tailored for each trimester.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"4-managing-pregnancy-complications\"><strong>4. Managing Pregnancy Complications<\/strong><\/h4>\n\n\n\n<p>Ayurveda offers solutions for complications like:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gestational Hypertension:<\/strong> Herbs and therapies that reduce inflammation and regulate blood pressure.<\/li>\n\n\n\n<li><strong>Preeclampsia Prevention:<\/strong> Detoxification practices and anti-inflammatory diets help lower risks.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"5-preparing-for-labor-and-delivery\"><strong>5. Preparing for Labor and Delivery<\/strong><\/h4>\n\n\n\n<p>Ayurvedic care ensures the body is well-prepared for labor through:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Abhyanga (Oil Massage):<\/strong> Improves circulation and strengthens muscles.<\/li>\n\n\n\n<li><strong>Light Physical Activity:<\/strong> Gentle exercises and prenatal yoga enhance flexibility and stamina.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"emotional-support-coping-with-anxiety-and-stress\"><strong>Emotional Support: Coping with Anxiety and Stress<\/strong><\/h3>\n\n\n\n<p>Pregnancy with diabetes often brings emotional stress and anxiety. Ayurveda integrates mental and emotional well-being into its care plan through:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Meditation and Mindfulness Practices:<\/strong> Reduce stress and promote emotional resilience.<\/li>\n\n\n\n<li><strong>Community Support:<\/strong> Encouraging connections with other expectant mothers for shared experiences and advice.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"why-choose-ayurveda-for-diabetic-pregnancy\"><strong>Why Choose Ayurveda for Diabetic Pregnancy?<\/strong><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Safe and Natural:<\/strong> Focuses on herbal remedies and dietary adjustments without harmful side effects.<\/li>\n\n\n\n<li><strong>Personalized Care:<\/strong> Treatments are tailored to each woman\u2019s constitution and unique challenges.<\/li>\n\n\n\n<li><strong>Holistic Approach:<\/strong> Integrates physical, emotional, and lifestyle factors for comprehensive prenatal care.<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"key-takeaways\"><strong>Key Takeaways<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diabetes during pregnancy introduces unique challenges, but with proper care and guidance, these risks can be effectively managed.<\/li>\n\n\n\n<li>Ayurveda stabilizes blood sugar, fosters hormonal balance, and supports fetal health through detoxification, herbal medications, dietary guidance, and lifestyle changes.<\/li>\n\n\n\n<li>With Ayurveda\u2019s holistic approach, diabetic mothers can enjoy a safer, more fulfilling pregnancy journey.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"conclusion\"><strong>Conclusion<\/strong><\/h3>\n\n\n\n<p>Being diabetic and pregnant may feel overwhelming, but with Ayurveda\u2019s help, it\u2019s possible to have a healthy pregnancy and baby. By focusing on root causes, nurturing the body, and integrating emotional support, Ayurveda provides a natural, effective pathway to maternal and fetal wellness.<\/p>\n\n\n\n<p>At <strong>EliteAyurveda<\/strong>, we\u2019re dedicated to helping diabetic mothers navigate pregnancy with confidence and clarity.<\/p>\n\n\n\n<p><strong>Take the first step toward hormonal harmony and a healthy pregnancy.<\/strong><br>\ud83d\udcde <strong>Contact us at +91 8884722246<\/strong><br>\ud83c\udf10 <strong>Visit: <a href=\"https:\/\/www.eliteayurveda.com\/\">www.eliteayurveda.com<\/a><\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Related-<\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/www.eliteayurveda.com\/diseases\/endocrine\/diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\">Know More About Ayuverda Diabetic Treatment.<\/a><\/p>\n\n\n\n<div class=\"wp-block-group alignfull has-text-color has-background\" style=\"color:#000000;background-color:#ffffff\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div style=\"height:64px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\" style=\"line-height:.9\"><strong>GET IN TOUCH<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"schedule-a-visit\" style=\"font-size:59px;line-height:1.15\"><strong><a href=\"https:\/\/eliteayurveda.com\/contact-us\/\" target=\"_blank\" rel=\"noreferrer noopener\">Schedule a Visit<\/a><\/strong><\/h2>\n\n\n\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-499968f5 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button\" href=\"https:\/\/eliteayurveda.com\/contact-us\/\" style=\"border-radius:50px;color:#ffffff;background-color:#000000\" target=\"_blank\" rel=\"noreferrer noopener\">Contact us<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:64px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"references\"><strong>References<\/strong><\/h3>\n\n\n\n<p>1.Colstrup M, Mathiesen ER, Damm P, Jensen DM, Ringholm L. Pregnancy in women with type 1 diabetes: have the goals of St. Vincent declaration been met concerning foetal and neonatal complications? J Matern Fetal Neonatal Med. 2013;26:1682\u20131686. doi: 10.3109\/14767058.2013.794214.\u00a0[<a href=\"https:\/\/doi.org\/10.3109\/14767058.2013.794214\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23570252\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=J%20Matern%20Fetal%20Neonatal%20Med&amp;title=Pregnancy%20in%20women%20with%20type%201%20diabetes:%20have%20the%20goals%20of%20St.%20Vincent%20declaration%20been%20met%20concerning%20foetal%20and%20neonatal%20complications?&amp;author=M%20Colstrup&amp;author=ER%20Mathiesen&amp;author=P%20Damm&amp;author=DM%20Jensen&amp;author=L%20Ringholm&amp;volume=26&amp;publication_year=2013&amp;pages=1682-1686&amp;pmid=23570252&amp;doi=10.3109\/14767058.2013.794214&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>2.Macintosh MC, Fleming KM, Bailey JA, et al. Perinatal mortality and congenital anomalies in babies of women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland: population based study. BMJ. 2006;333:177. doi: 10.1136\/bmj.38856.692986.AE.\u00a0[<a href=\"https:\/\/doi.org\/10.1136\/bmj.38856.692986.AE\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1513435\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16782722\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=BMJ&amp;title=Perinatal%20mortality%20and%20congenital%20anomalies%20in%20babies%20of%20women%20with%20type%201%20or%20type%202%20diabetes%20in%20England,%20Wales,%20and%20Northern%20Ireland:%20population%20based%20study&amp;author=MC%20Macintosh&amp;author=KM%20Fleming&amp;author=JA%20Bailey&amp;volume=333&amp;publication_year=2006&amp;pages=177&amp;pmid=16782722&amp;doi=10.1136\/bmj.38856.692986.AE&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>3.Murphy HR, Bell R, Cartwright C, et al. Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study. Diabetologia. 2017;60:1668\u20131677. doi: 10.1007\/s00125-017-4314-3.\u00a0[<a href=\"https:\/\/doi.org\/10.1007\/s00125-017-4314-3\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5552835\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28597075\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetologia&amp;title=Improved%20pregnancy%20outcomes%20in%20women%20with%20type%201%20and%20type%202%20diabetes%20but%20substantial%20clinic-to-clinic%20variations:%20a%20prospective%20nationwide%20study&amp;author=HR%20Murphy&amp;author=R%20Bell&amp;author=C%20Cartwright&amp;volume=60&amp;publication_year=2017&amp;pages=1668-1677&amp;pmid=28597075&amp;doi=10.1007\/s00125-017-4314-3&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>4.Wahabi HA, Alzeidan RA, Esmaeil SA. Pre-pregnancy care for women with pre-gestational diabetes mellitus: a systematic review and meta-analysis. BMC Public Health. 2012;12:792. doi: 10.1186\/1471-2458-12-792.\u00a0[<a href=\"https:\/\/doi.org\/10.1186\/1471-2458-12-792\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3575330\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22978747\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=BMC%20Public%20Health&amp;title=Pre-pregnancy%20care%20for%20women%20with%20pre-gestational%20diabetes%20mellitus:%20a%20systematic%20review%20and%20meta-analysis&amp;author=HA%20Wahabi&amp;author=RA%20Alzeidan&amp;author=SA%20Esmaeil&amp;volume=12&amp;publication_year=2012&amp;pages=792&amp;pmid=22978747&amp;doi=10.1186\/1471-2458-12-792&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>5.Scheffler RM, Feuchtbaum LB, Phibbs CS. Prevention: the cost-effectiveness of the California Diabetes and Pregnancy Program. Am J Public Health. 1992;82:168\u2013175. doi: 10.2105\/AJPH.82.2.168.\u00a0[<a href=\"https:\/\/doi.org\/10.2105\/AJPH.82.2.168\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1694303\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1739141\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Am%20J%20Public%20Health&amp;title=Prevention:%20the%20cost-effectiveness%20of%20the%20California%20Diabetes%20and%20Pregnancy%20Program&amp;author=RM%20Scheffler&amp;author=LB%20Feuchtbaum&amp;author=CS%20Phibbs&amp;volume=82&amp;publication_year=1992&amp;pages=168-175&amp;pmid=1739141&amp;doi=10.2105\/AJPH.82.2.168&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>6.NHS Digital (2016) National Diabetes in Pregnancy Audit. Available from\u00a0<a href=\"http:\/\/content.digital.nhs.uk\/npid\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/content.digital.nhs.uk\/npid<\/a>. Accessed 16 Oct 2017<\/p>\n\n\n\n<p>7.Tieu J, Middleton P, Crowther CA, Shepherd E (2017) Preconception care for diabetic women for improving maternal and infant health. Cochrane Database Syst Rev, Issue 8, Art. no.: CD007776\u00a0[<a href=\"https:\/\/doi.org\/10.1002\/14651858.CD007776.pub3\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6483481\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28799164\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>]<\/p>\n\n\n\n<p>8.Egan AM, Galjaard S, Maresh MJA, et al. A core outcome set for studies evaluating the effectiveness of prepregnancy care for women with pregestational diabetes. Diabetologia. 2017;60:1190\u20131196. doi: 10.1007\/s00125-017-4277-4.\u00a0[<a href=\"https:\/\/doi.org\/10.1007\/s00125-017-4277-4\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5487596\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28409213\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetologia&amp;title=A%20core%20outcome%20set%20for%20studies%20evaluating%20the%20effectiveness%20of%20prepregnancy%20care%20for%20women%20with%20pregestational%20diabetes&amp;author=AM%20Egan&amp;author=S%20Galjaard&amp;author=MJA%20Maresh&amp;volume=60&amp;publication_year=2017&amp;pages=1190-1196&amp;pmid=28409213&amp;doi=10.1007\/s00125-017-4277-4&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>9.Maresh MJ, Holmes VA, Patterson CC, et al. Glycemic targets in the second and third trimester of pregnancy for women with type 1 diabetes. Diabetes Care. 2015;38:34\u201342. doi: 10.2337\/dc14-1755.\u00a0[<a href=\"https:\/\/doi.org\/10.2337\/dc14-1755\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25368104\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetes%20Care&amp;title=Glycemic%20targets%20in%20the%20second%20and%20third%20trimester%20of%20pregnancy%20for%20women%20with%20type%201%20diabetes&amp;author=MJ%20Maresh&amp;author=VA%20Holmes&amp;author=CC%20Patterson&amp;volume=38&amp;publication_year=2015&amp;pages=34-42&amp;pmid=25368104&amp;doi=10.2337\/dc14-1755&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>10.Secher AL, Ringholm L, Andersen HU, Damm P, Mathiesen ER. The effect of real-time continuous glucose monitoring in pregnant women with diabetes: a randomized controlled trial. Diabetes Care. 2013;36:1877\u20131883. doi: 10.2337\/dc12-2360.\u00a0[<a href=\"https:\/\/doi.org\/10.2337\/dc12-2360\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3687305\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23349548\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetes%20Care&amp;title=The%20effect%20of%20real-time%20continuous%20glucose%20monitoring%20in%20pregnant%20women%20with%20diabetes:%20a%20randomized%20controlled%20trial&amp;author=AL%20Secher&amp;author=L%20Ringholm&amp;author=HU%20Andersen&amp;author=P%20Damm&amp;author=ER%20Mathiesen&amp;volume=36&amp;publication_year=2013&amp;pages=1877-1883&amp;pmid=23349548&amp;doi=10.2337\/dc12-2360&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>11.American Diabetes Association Management of diabetes in pregnancy. Diabetes Care. 2017;40:S114\u2013S119. doi: 10.2337\/dc17-S016.\u00a0[<a href=\"https:\/\/doi.org\/10.2337\/dc17-S016\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27979900\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetes%20Care&amp;title=Management%20of%20diabetes%20in%20pregnancy&amp;volume=40&amp;publication_year=2017&amp;pages=S114-S119&amp;pmid=27979900&amp;doi=10.2337\/dc17-S016&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>12.National Institute for Health and Care Excellence (NICE) (2015). Diabetes in pregnancy: management from preconception to the postnatal period. Available from\u00a0<a href=\"http:\/\/nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">nice.org.uk<\/a>\/guidance\/ng3. Accessed 16 Oct 2017\u00a0[<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32212588\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>]<\/p>\n\n\n\n<p>13.Farrar D, Tuffnell DJ, West J, West HM (2016) Continuous subcutaneous insulin infusion versus multiple daily injections of insulin for pregnant women with diabetes. Cochrane Database Syst Rev, Issue 6, Art. no.: CD005542\u00a0[<a href=\"https:\/\/doi.org\/10.1002\/14651858.CD005542.pub3\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8563847\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27272351\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>]<\/p>\n\n\n\n<p>14.Feig DS, Donovan LE, Corcoy R, et al. Continuous glucose monitoring in pregnant women with type 1 diabetes (CONCEPTT): a multicentre international randomised controlled trial. Lancet. 2017;390:2347\u20132359. doi: 10.1016\/S0140-6736(17)32400-5.\u00a0[<a href=\"https:\/\/doi.org\/10.1016\/S0140-6736(17)32400-5\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5713979\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28923465\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Lancet&amp;title=Continuous%20glucose%20monitoring%20in%20pregnant%20women%20with%20type%201%20diabetes%20(CONCEPTT):%20a%20multicentre%20international%20randomised%20controlled%20trial&amp;author=DS%20Feig&amp;author=LE%20Donovan&amp;author=R%20Corcoy&amp;volume=390&amp;publication_year=2017&amp;pages=2347-2359&amp;pmid=28923465&amp;doi=10.1016\/S0140-6736(17)32400-5&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>15.Stewart ZA, Wilinska ME, Hartnell S, et al. Closed-loop insulin delivery during pregnancy in women with type 1 diabetes. N Engl J Med. 2016;375:644\u2013654. doi: 10.1056\/NEJMoa1602494.\u00a0[<a href=\"https:\/\/doi.org\/10.1056\/NEJMoa1602494\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27532830\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=N%20Engl%20J%20Med&amp;title=Closed-loop%20insulin%20delivery%20during%20pregnancy%20in%20women%20with%20type%201%20diabetes&amp;author=ZA%20Stewart&amp;author=ME%20Wilinska&amp;author=S%20Hartnell&amp;volume=375&amp;publication_year=2016&amp;pages=644-654&amp;pmid=27532830&amp;doi=10.1056\/NEJMoa1602494&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>16.Fresa R, Visalli N, Di Blasi V, et al. Experiences of continuous subcutaneous insulin infusion in pregnant women with type 1 diabetes during delivery from four Italian centers: a retrospective observational study. Diabetes Technol Ther. 2013;15:328\u2013334. doi: 10.1089\/dia.2012.0260.\u00a0[<a href=\"https:\/\/doi.org\/10.1089\/dia.2012.0260\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23537417\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetes%20Technol%20Ther&amp;title=Experiences%20of%20continuous%20subcutaneous%20insulin%20infusion%20in%20pregnant%20women%20with%20type%201%20diabetes%20during%20delivery%20from%20four%20Italian%20centers:%20a%20retrospective%20observational%20study&amp;author=R%20Fresa&amp;author=N%20Visalli&amp;author=V%20Di%20Blasi&amp;volume=15&amp;publication_year=2013&amp;pages=328-334&amp;pmid=23537417&amp;doi=10.1089\/dia.2012.0260&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>17.Ringholm L, Mathiesen ER, Kelstrup L, Damm P. Managing type 1 diabetes mellitus in pregnancy\u2014from planning to breastfeeding. Nat Rev Endocrinol. 2012;8:659\u2013667. doi: 10.1038\/nrendo.2012.154.\u00a0[<a href=\"https:\/\/doi.org\/10.1038\/nrendo.2012.154\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22965164\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Nat%20Rev%20Endocrinol&amp;title=Managing%20type%201%20diabetes%20mellitus%20in%20pregnancy%E2%80%94from%20planning%20to%20breastfeeding&amp;author=L%20Ringholm&amp;author=ER%20Mathiesen&amp;author=L%20Kelstrup&amp;author=P%20Damm&amp;volume=8&amp;publication_year=2012&amp;pages=659-667&amp;pmid=22965164&amp;doi=10.1038\/nrendo.2012.154&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>18.Bell R, Glinianaia SV, Tennant PW, Bilous RW, Rankin J. Peri-conception hyperglycaemia and nephropathy are associated with risk of congenital anomaly in women with pre-existing diabetes: a population-based cohort study. Diabetologia. 2012;55:936\u2013947. doi: 10.1007\/s00125-012-2455-y.\u00a0[<a href=\"https:\/\/doi.org\/10.1007\/s00125-012-2455-y\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22314812\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Diabetologia&amp;title=Peri-conception%20hyperglycaemia%20and%20nephropathy%20are%20associated%20with%20risk%20of%20congenital%20anomaly%20in%20women%20with%20pre-existing%20diabetes:%20a%20population-based%20cohort%20study&amp;author=R%20Bell&amp;author=SV%20Glinianaia&amp;author=PW%20Tennant&amp;author=RW%20Bilous&amp;author=J%20Rankin&amp;volume=55&amp;publication_year=2012&amp;pages=936-947&amp;pmid=22314812&amp;doi=10.1007\/s00125-012-2455-y&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>19.Zeisler H, Llurba E, Chantraine F, et al. Predictive value of the sFlt-1:PlGF ratio in women with suspected preeclampsia. N Engl J Med. 2016;374:13\u201322. doi: 10.1056\/NEJMoa1414838.\u00a0[<a href=\"https:\/\/doi.org\/10.1056\/NEJMoa1414838\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26735990\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=N%20Engl%20J%20Med&amp;title=Predictive%20value%20of%20the%20sFlt-1:PlGF%20ratio%20in%20women%20with%20suspected%20preeclampsia&amp;author=H%20Zeisler&amp;author=E%20Llurba&amp;author=F%20Chantraine&amp;volume=374&amp;publication_year=2016&amp;pages=13-22&amp;pmid=26735990&amp;doi=10.1056\/NEJMoa1414838&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>20.Concillado M, Lund-Andersen H, Mathiesen ER, Larsen M. Dexamethasone intravitreal implant for diabetic macular edema during pregnancy. Am J Ophthalmol. 2016;165:7\u201315. doi: 10.1016\/j.ajo.2016.02.004.\u00a0[<a href=\"https:\/\/doi.org\/10.1016\/j.ajo.2016.02.004\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26896557\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Am%20J%20Ophthalmol&amp;title=Dexamethasone%20intravitreal%20implant%20for%20diabetic%20macular%20edema%20during%20pregnancy&amp;author=M%20Concillado&amp;author=H%20Lund-Andersen&amp;author=ER%20Mathiesen&amp;author=M%20Larsen&amp;volume=165&amp;publication_year=2016&amp;pages=7-15&amp;pmid=26896557&amp;doi=10.1016\/j.ajo.2016.02.004&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>21.Poston L, Caleyachetty R, Cnattingius S, et al. Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol. 2016;4:1025\u20131036. doi: 10.1016\/S2213-8587(16)30217-0.\u00a0[<a href=\"https:\/\/doi.org\/10.1016\/S2213-8587(16)30217-0\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27743975\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Lancet%20Diabetes%20Endocrinol&amp;title=Preconceptional%20and%20maternal%20obesity:%20epidemiology%20and%20health%20consequences&amp;author=L%20Poston&amp;author=R%20Caleyachetty&amp;author=S%20Cnattingius&amp;volume=4&amp;publication_year=2016&amp;pages=1025-1036&amp;pmid=27743975&amp;doi=10.1016\/S2213-8587(16)30217-0&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>22.Catalano PM, Mele L, Landon MB, et al. Inadequate weight gain in overweight and obese pregnant women: what is the effect on fetal growth? Am J Obstet Gynecol. 2014;211:137 e131-137. doi: 10.1016\/j.ajog.2014.02.004.\u00a0[<a href=\"https:\/\/doi.org\/10.1016\/j.ajog.2014.02.004\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4117705\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24530820\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Am%20J%20Obstet%20Gynecol&amp;title=Inadequate%20weight%20gain%20in%20overweight%20and%20obese%20pregnant%20women:%20what%20is%20the%20effect%20on%20fetal%20growth?&amp;author=PM%20Catalano&amp;author=L%20Mele&amp;author=MB%20Landon&amp;volume=211&amp;publication_year=2014&amp;pages=137%20e131-137&amp;pmid=24530820&amp;doi=10.1016\/j.ajog.2014.02.004&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>23.Hinkle SN, Sharma AJ, Dietz PM. Gestational weight gain in obese mothers and associations with fetal growth. Am J Clin Nutr. 2010;92:644\u2013651. doi: 10.3945\/ajcn.2010.29726.\u00a0[<a href=\"https:\/\/doi.org\/10.3945\/ajcn.2010.29726\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20631201\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Am%20J%20Clin%20Nutr&amp;title=Gestational%20weight%20gain%20in%20obese%20mothers%20and%20associations%20with%20fetal%20growth&amp;author=SN%20Hinkle&amp;author=AJ%20Sharma&amp;author=PM%20Dietz&amp;volume=92&amp;publication_year=2010&amp;pages=644-651&amp;pmid=20631201&amp;doi=10.3945\/ajcn.2010.29726&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>24.Abenhaim HA, Alrowaily N, Czuzoj-Shulman N, Spence AR, Klam SL. Pregnancy outcomes in women with bariatric surgery as compared with morbidly obese women. J Matern Fetal Neonatal Med. 2016;29:3596\u20133601. doi: 10.3109\/14767058.2016.1143927.\u00a0[<a href=\"https:\/\/doi.org\/10.3109\/14767058.2016.1143927\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26785778\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=J%20Matern%20Fetal%20Neonatal%20Med&amp;title=Pregnancy%20outcomes%20in%20women%20with%20bariatric%20surgery%20as%20compared%20with%20morbidly%20obese%20women&amp;author=HA%20Abenhaim&amp;author=N%20Alrowaily&amp;author=N%20Czuzoj-Shulman&amp;author=AR%20Spence&amp;author=SL%20Klam&amp;volume=29&amp;publication_year=2016&amp;pages=3596-3601&amp;pmid=26785778&amp;doi=10.3109\/14767058.2016.1143927&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>25.Johansson K, Cnattingius S, Naslund I, et al. Outcomes of pregnancy after bariatric surgery. N Engl J Med. 2015;372:814\u2013824. doi: 10.1056\/NEJMoa1405789.\u00a0[<a href=\"https:\/\/doi.org\/10.1056\/NEJMoa1405789\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25714159\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=N%20Engl%20J%20Med&amp;title=Outcomes%20of%20pregnancy%20after%20bariatric%20surgery&amp;author=K%20Johansson&amp;author=S%20Cnattingius&amp;author=I%20Naslund&amp;volume=372&amp;publication_year=2015&amp;pages=814-824&amp;pmid=25714159&amp;doi=10.1056\/NEJMoa1405789&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>26.Dalfr\u00e0 MG, Busetto L, Chilelli NC, Lapolla A. Pregnancy and foetal outcome after bariatric surgery: a review of recent studies. J Matern Fetal Neonatal Med. 2012;25:1537\u20131543. doi: 10.3109\/14767058.2012.663829.\u00a0[<a href=\"https:\/\/doi.org\/10.3109\/14767058.2012.663829\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22339055\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=J%20Matern%20Fetal%20Neonatal%20Med&amp;title=Pregnancy%20and%20foetal%20outcome%20after%20bariatric%20surgery:%20a%20review%20of%20recent%20studies&amp;author=MG%20Dalfr%C3%A0&amp;author=L%20Busetto&amp;author=NC%20Chilelli&amp;author=A%20Lapolla&amp;volume=25&amp;publication_year=2012&amp;pages=1537-1543&amp;pmid=22339055&amp;doi=10.3109\/14767058.2012.663829&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>27.Egan AM, Dennedy MC, Al-Ramli W, Heerey A, Avalos G, Dunne F. ATLANTIC-DIP: excessive gestational weight gain and pregnancy outcomes in women with gestational or pregestational diabetes mellitus. J Clin Endocrinol Metab. 2014;99:212\u2013219. doi: 10.1210\/jc.2013-2684.\u00a0[<a href=\"https:\/\/doi.org\/10.1210\/jc.2013-2684\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24187402\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=J%20Clin%20Endocrinol%20Metab&amp;title=ATLANTIC-DIP:%20excessive%20gestational%20weight%20gain%20and%20pregnancy%20outcomes%20in%20women%20with%20gestational%20or%20pregestational%20diabetes%20mellitus&amp;author=AM%20Egan&amp;author=MC%20Dennedy&amp;author=W%20Al-Ramli&amp;author=A%20Heerey&amp;author=G%20Avalos&amp;volume=99&amp;publication_year=2014&amp;pages=212-219&amp;pmid=24187402&amp;doi=10.1210\/jc.2013-2684&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>28.Simmons D, Devlieger R, van Assche A, et al. Effect of physical activity and\/or healthy eating on GDM risk: the DALI lifestyle study. J Clin Endocrinol Metab. 2017;102:903\u2013913. doi: 10.1210\/jc.2016-3455.\u00a0[<a href=\"https:\/\/doi.org\/10.1210\/jc.2016-3455\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5460688\/\" target=\"_blank\" rel=\"noopener\">PMC free article<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27935767\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=J%20Clin%20Endocrinol%20Metab&amp;title=Effect%20of%20physical%20activity%20and\/or%20healthy%20eating%20on%20GDM%20risk:%20the%20DALI%20lifestyle%20study&amp;author=D%20Simmons&amp;author=R%20Devlieger&amp;author=A%20van%20Assche&amp;volume=102&amp;publication_year=2017&amp;pages=903-913&amp;pmid=27935767&amp;doi=10.1210\/jc.2016-3455&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>29.Oostdam N, van Poppel MN, Wouters MG, van Mechelen W. Interventions for preventing gestational diabetes mellitus: a systematic review and meta-analysis. J Women\u2019s Health. 2011;20:1551\u20131563. doi: 10.1089\/jwh.2010.2703.\u00a0[<a href=\"https:\/\/doi.org\/10.1089\/jwh.2010.2703\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21838525\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=J%20Women%E2%80%99s%20Health&amp;title=Interventions%20for%20preventing%20gestational%20diabetes%20mellitus:%20a%20systematic%20review%20and%20meta-analysis&amp;author=N%20Oostdam&amp;author=MN%20van%20Poppel&amp;author=MG%20Wouters&amp;author=W%20van%20Mechelen&amp;volume=20&amp;publication_year=2011&amp;pages=1551-1563&amp;pmid=21838525&amp;doi=10.1089\/jwh.2010.2703&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p>30.Song C, Li J, Leng J, Ma RC, Yang X. Lifestyle intervention can reduce the risk of gestational diabetes: a meta-analysis of randomized controlled trials. Obes Rev. 2016;17:960\u2013969. doi: 10.1111\/obr.12442.\u00a0[<a href=\"https:\/\/doi.org\/10.1111\/obr.12442\" target=\"_blank\" rel=\"noreferrer noopener\">DOI<\/a>] [<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27417680\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>] [<a href=\"https:\/\/scholar.google.com\/scholar_lookup?journal=Obes%20Rev&amp;title=Lifestyle%20intervention%20can%20reduce%20the%20risk%20of%20gestational%20diabetes:%20a%20meta-analysis%20of%20randomized%20controlled%20trials&amp;author=C%20Song&amp;author=J%20Li&amp;author=J%20Leng&amp;author=RC%20Ma&amp;author=X%20Yang&amp;volume=17&amp;publication_year=2016&amp;pages=960-969&amp;pmid=27417680&amp;doi=10.1111\/obr.12442&amp;\" target=\"_blank\" rel=\"noreferrer noopener\">Google Scholar<\/a>]<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I\u2019m a Diabetic: What Problems Will I Face During Pregnancy? Pregnancy is a beautiful journey, but for women with diabetes, it can bring unique challenges that require careful management. Diabetes, whether pre-existing (Type 1 or Type 2) or gestational, introduces potential risks to both the mother and the baby. However, with proper planning, medical care, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5173,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[80],"tags":[],"class_list":{"0":"post-3157","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-general"},"_links":{"self":[{"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/posts\/3157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/comments?post=3157"}],"version-history":[{"count":3,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/posts\/3157\/revisions"}],"predecessor-version":[{"id":5174,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/posts\/3157\/revisions\/5174"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/media\/5173"}],"wp:attachment":[{"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/media?parent=3157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/categories?post=3157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eliteayurveda.com\/blog\/wp-json\/wp\/v2\/tags?post=3157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}