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The multidisciplinary management of type 2 and gestational diabetes in pregnancy

Abayomi, JC and Wood, L and Spelman, S and Morrison, G and Purewal, T (2013) The multidisciplinary management of type 2 and gestational diabetes in pregnancy. British Journal of Midwifery, 21 (4). pp. 236-242. ISSN 0969-4900

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Abstract

The UK is experiencing a dramatic increase in the prevalence of type 2 diabetes mellitus (T2D). Consequently, there is a corresponding increase in diabetes in pregnancy, with 87.5% of pregnancies in the UK complicated by diabetes due to gestational diabetes mellitus (GDM), and 27% of those with pre-existing diabetes having T2D (National Centre for Health and Clinical Excellence (NICE), 2008a). Although the risks to mother and baby are similar to type 1 diabetes (T1D), the approach and management often differ. Women with GDM and T2D are more likely to be older, multiparous and live in deprived areas. Certain ethnic groups are more prone to GDM and T2D, and there is a strong association between being overweight or obese and diabetes. Women who develop GDM in pregnancy also have an increased risk of T2D in later life (Diabetes UK, 2011a). Some surveys, such as the Confidential Enquiry into Maternal and Child Health (CEMACH, 2007a) have shown that women with T2D often receive suboptimum care prior to conception and in early pregnancy. This paper presents an overview of the multidisciplinary management of T2D and GDM in pregnancy and identifies areas where care may be lacking for these women.

Item Type: Article
Uncontrolled Keywords: 1110 Nursing
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: School of Sport Studies, Leisure and Nutrition
Publisher: Mark Allen Healthcare
Date Deposited: 21 Aug 2015 11:26
Last Modified: 06 Sep 2017 15:45
URI: http://researchonline.ljmu.ac.uk/id/eprint/1887

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