Topical problems of diabetes treatment during pregnancy
https://doi.org/10.14341/2072-0351-5701
Abstract
The main causes behind decompensation of diabetes mellitus (DM) in pregnant women are consid-ered, such as metabolic and hormonal disturbancesinfluencing insulin requirement in different periods of pregnancy and variability of glycemia related to pharmacokinetic and pharmacodynamicproperties of insu-lin preparations. Recommended target levels of glycemia in pregnant women with DM are cited. The fre-quencyof self-monitoring blood glucose and principles of intensive insulin therapy are discussed. Advan-tages of continuous subcutaneous insulin infusionand its role in the maintenance of stable control of car-bohydrate metabolism during pregnancy are discussed.
About the Authors
Irina Yur'evna Demidova
Russian State Medical University, Moscow
Natalya Yur'evna Arbatskaya
Russian State Medical University, Moscow; N.I. Pirogov City Clinical Hospital, Moscow
Elena Petrovna Mel'nikova
Russian State Medical University, Moscow
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For citations:
Demidova I.Yu., Arbatskaya N.Yu., Mel'nikova E.P. Topical problems of diabetes treatment during pregnancy. Diabetes mellitus. 2009;12(4):32-36. (In Russ.) https://doi.org/10.14341/2072-0351-5701
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