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Disorders in Pregnancy
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Poorly controlled diabetes has been associated with an
increased rate of fetal cardiovascular, renal, and neural tube defects.
In particular double outlet right ventricle , truncus arteriosus, and caudal
regression syndrome are seen with higher frequency than expected
The rate of malformation appears be directly related
to the level of fasting hyperglycemia at diagnosis .
Fasting Glucose (mg/dl) Rate of Malformation
1 .Shepard TH. Catalog of Teratogenic Agents. 9th ed.Baltimore,
MD: Johns Hopkins University Press, 1998
2. Schaefer UM, et al. Congenital malformations in offspring of women with hyperglycemia first detected during pregnancy.Am J Obstet Gynecol.;177:1165,1997
Diabetes and Pregnancy
1993 Illinois Teratogen Information Service
Diabetes Mellitus in Pregnancy
1999 Hahnemann University School of Medicine. Requires
International Workshop-Conference on Diabetes
1998 Diabetes Care
Management of Diabetic Ketoacidosis
1999 American Academy of Family Physicians
Sweet Success Program:Pomona Valley Hosptial Medical Center
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