Post-pregnancy deterioration in glycemic control in T1DM

February 14, 2013
Post-pregnancy deterioration in glycemic control in T1DM
Women with type 1 diabetes experience post-pregnancy deterioration in glycemic control and sustained weight gain, according to research published online Dec. 18 in Diabetes Care.

(HealthDay)—Women with type 1 diabetes experience post-pregnancy deterioration in glycemic control and sustained weight gain, according to research published online Dec. 18 in Diabetes Care.

Katarzyna Cyganek, M.D., Ph.D., of the University Hospital in Krakow, Poland, and colleagues examined post-pregnancy glycemic control and weight changes in 254 women (mean age, 28.3 years) with (duration, 12.0 ± 7.7 years) who had singleton pregnancies. The women were followed post-delivery for a median of 20 months.

The researchers found that the mean A1C decreased from 6.9 percent preconception to 5.7 percent during the third trimester. The mean weight gain during pregnancy was 14.4 kg. Within six months of delivery, A1C increased significantly, by 0.8 percent versus the last trimester, and it further deteriorated by 0.8 percent up to the end of follow-up. Compared with preconception baseline, body weight was 4.4 kg higher and was 2.5 kg/m² higher within six months after delivery, and were 2.5 kg and 0.9 kg/m² higher, respectively, at the end of follow-up. Women with planned pregnancies (117 women) experienced worse A1C at more than 12 months after delivery compared with before conception, while for women with unplanned pregnancies the level was similar to that of pre-gestation.

"In conclusion, type 1 diabetic women showed post-pregnancy deterioration in glycemic control. They were also unable to return to their pre-pregnancy weight," the authors write. "Type 1 diabetic women seem to require special medical attention after delivery to maintain their within therapeutic targets."

Explore further: Pre-op factors predict post-gastric op glycemic response

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Pre-op factors predict post-gastric op glycemic response

October 8, 2012
(HealthDay)—The glycemic response to gastric bypass surgery can be predicted in Chinese patients with type 2 diabetes by three preoperative factors, according to a study published online Oct. 1 in Diabetes Care.

When eating for two becomes a weighty issue

November 12, 2012
Two-thirds of Australian mums-to-be are in the dark when it comes to how much weight they should gain during pregnancy.

Mothers' weight before and during pregnancy affects baby's weight

December 13, 2011
A new study published in the journal Acta Obstetricia et Gynecologica Scandinavica (AOGS) reveals that both pre-pregnant weight (body mass index, BMI) and weight gain in pregnancy are important predictors of babies' birthweight. ...

In pregnancy, Type 2 diabetes may pose less risk than Type 1: Women with more common type may have better outcomes

November 27, 2012
Pregnant women with Type 2 diabetes have a better chance at good outcomes than those with Type 1, particularly if they receive proper care before and during their pregnancy, according to a University of Rochester Medical ...

Recommended for you

Americans misinformed about smoking

August 22, 2017
After voluminous research studies, numerous lawsuits and millions of deaths linked to cigarettes, it might seem likely that Americans now properly understand the risks of smoking.

Women who sexually abuse children are just as harmful to their victims as male abusers

August 21, 2017
"That she might seduce a helpless child into sexplay is unthinkable, and even if she did so, what harm can be done without a penis?"

To reduce postoperative pain, consider sleep—and caffeine

August 18, 2017
Sleep is essential for good mental and physical health, and chronic insufficient sleep increases the risk for several chronic health problems.

Despite benefits, half of parents against later school start times

August 18, 2017
Leading pediatrics and sleep associations agree: Teens shouldn't start school so early.

Doctors exploring how to prescribe income security

August 18, 2017
Physicians at St. Michael's Hospital are studying how full-time income support workers hired by health-care clinics can help vulnerable patients or those living in poverty improve their finances and their health.

Schoolchildren who use e-cigarettes are more likely to try tobacco

August 17, 2017
Vaping - or the use of e-cigarettes - is widely accepted as a safer option for people who are already smoking.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.