Pre existing diabetes in pregnancy and post partum Dr Natassia Rodrigo

The podcast examines the management of pre-existing diabetes during pregnancy and the postpartum period, focusing on implications for maternal and fetal health. It outlines different types of pre-existing diabetes, highlights the increasing prevalence linked to factors like obesity and age, and discusses vulnerabilities in specific ethnic groups that experience poorer outcomes. Key risks associated with maternal hyperglycemia and the importance of optimizing glycemic control before and during pregnancy are emphasized, including recommended strategies such as self-monitoring and multidisciplinary care. The complexities of managing weight gain and insulin dosage throughout pregnancy are explored, alongside comparisons of glycemic monitoring methods. Additionally, the potential benefits of hybrid closed-loop systems and the management of hyperglycemia following glucocorticoid therapy are addressed, culminating in a call for a collaborative approach to optimize health outcomes for mothers and their infants.

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