Key Point

• Newborns of diabetic mothers always require intensive monitoring for hypoglycemia, even following ideal pregnancies.

In anticipation of pregnancy in a type 1 diabetic patient, insulin dosage schedules may need to be modified to flexible, intensive regimens. As mentioned, controversy surrounds continuing effective basal bolus regimens with synthetic insulins during pregnancy. If an insulin pump is being used, adjustments need to be made frequently to attain target HbA1c values of less than 7%. The risk of diabetic embryopathy resulting in congenital anomalies has been directly related to the HbA1c value in the first trimester. Unless the family physician has a particular interest and experience, maternal fetal medicine physicians and endocrinologist should provide counseling and insulinization schedules for type 1 diabetic women preparing for pregnancy.

Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.

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