Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Includes bibliographical references at the end of each chapters and index.
Intro -- Title Page -- Copyright Page -- Contents -- Contributors -- Foreword -- Preface -- Section I Introduction -- Chapter 1 Epidemiology of Diabetes in Pregnancy -- Prevalence of Total Hyperglycemia in Pregnancy -- Prevalence of Known Pre-Gestational Diabetes in Pregnancy -- Prevalence of Hyperglycemia First Detected in Pregnancy -- Public Health Impact of Hyperglycemia in Pregnancy -- Multiple-Choice Questions -- Chapter 2 Pathophysiology of Diabetes in Pregnancy -- Maternal Metabolic Adaptation to Pregnancy -- Insulin Resistance in Pregnancy -- Nutrient Excess and Metabolic Dysfunction -- Insulin Resistance and Glucose Intolerance -- Metabolic Plasticity in Pregnancy -- Pre-gestational Diabetes -- Summary and Future Directions for Research -- Multiple-Choice Questions -- References -- Chapter 3 The Placenta in a Diabetic Pregnancy -- Normal Development -- The Placenta in Diabetes -- The Role of the Insulin/LGF System and Leptin on the Placenta in Diabetes -- Influence of Fetal Sex on Placental Function in GDM -- Placental Methylation -- Summary -- Questions -- References -- Section II Gestational Diabetes -- Chapter 4 Screening for Gestational Diabetes -- Introduction -- Definition -- Should we Screen for Gestational Diabetes? -- Screening Methods -- Costs of Screening -- Conclusions -- Multiple-Choice Question -- References -- Chapter 5 Diagnostic Criteria for Hyperglycemia in Pregnancy -- Introduction -- Gestational Diabetes: Historical Development -- Importance of Overt Diabetes in Pregnancy -- Rationale for Diagnosing Maternal Hyperglycemia During Pregnancy -- Basing Treatment on Improving Outcomes -- Diagnosis in the First Trimester -- Conclusions -- Multiple-Choice Questions -- References -- Chapter 6 Lifestyle Treatment -- Introduction -- Lifestyle Intervention in Obese Pregnant Women -- Systematic Reviews on Intervention Trials.
Is It Possible that Intervention Might Be Harmful? -- Ongoing Studies and Meta‐Analyses -- Comparison of Studies -- Future Directions -- Multiple-Choice Questions -- References -- Chapter 7 Obesity and Diabetes in Pregnancy -- Introduction -- Definitions -- Physiology and Pathophysiology -- Glucose Metabolism in GDM and Obesity -- Lipid and Adipose Tissue Metabolism in GDM and Obese Pregnancies -- Inflammation in Obesity and GDM in Pregnancy -- In Utero Exposure to Obesity and GDM, and Later Offspring Health -- Summary and Future Research -- Multiple-Choice Questions -- References -- Chapter 8 Metabolic Abnormalities in Gestational Diabetes -- Gestational Diabetes Mellitus: A Chronic Metabolic Disorder -- Metabolic Syndrome in Women with Gdm -- Lipid Profiles in Women with Gdm -- Blood Pressure in Women with GDM -- Inflammation in Women with GDM -- Adipokine Dysregulation in Women with GDM -- Metabolic Abnormalities Before Pregnancy and in Early Gestation Prior to the Diagnosis of GDM -- Future Perspectives -- Multiple-Choice Questions -- References -- Chapter 9 Maternal Risk After the Gestational Diabetes Mellitus Pregnancy -- Introduction -- Maternal Sequelae of GDM After Delivery -- Recommendations for Postpartum Glucose Screening -- Recommendations for Behavior Modification -- FutureDirections -- Multiple-Choice Questions -- References -- Section III Diabetes Preceding Pregnancy -- Chapter 10 Pre-Pregnancy Care in Type 1 and Type 2 Diabetes -- Background -- History of Pre-Pregnancy Care -- Is Pre-Pregnancy Care Effective? -- Why Do Women not Attend Pre-Pregnancy Care? -- Components of a Pre-Pregnancy Service -- Preconception Counseling -- Pre-Pregnancy Care -- Future Research -- Multiple-Choice Questions -- References -- Chapter 11 Malformations -- Epidemiology -- Pathogenesis -- Prevention -- Detection and Management -- Multiple-Choice Questions.
References -- Chapter 12 Provision of Pregnancy Care -- Background -- Guidelines for the Provision of Care -- Aims of Multidisciplinary Joint Antenatal Diabetes Care -- Organization: Members of the Multidisciplinary Team -- Standardization of Schedules and Documentation -- Special Needs -- Problems with Provision of Maternity Care and Clinical Governance -- The Way Forward -- Editor's Note: A Us Perspective -- Multiple-Choice Questions -- References -- Chapter 13 Problems Encountered More Frequently in Women with Type 1 Diabetes -- Introduction -- Hypoglycemia -- Hypoglycemic Unawareness -- Autonomic Neuropathy -- Diabetic Ketoacidosis -- Stillbirth -- Carbohydrate Counting and Type 1 Diabetes -- Multiple-Choice Questions -- Acknowledgment -- References -- Chapter 14 Problems Encountered More Frequently in Women with Type 2 Diabetes -- Case History -- Prevalence of Type 2 Diabetes -- Preconception Counseling with Type 2 Diabetes -- Diabetic Complications in Type 2 Diabetes -- Pregnancy Complications -- Postpartum Management -- Multiple-Choice Questions -- References -- Chapter 15 Advances in Oral Anti‐Diabetes Drugs in Pregnancy -- Background -- Sulfonylureas and Meglitinides -- Metformin -- Alpha-Glucosidase Inhibitors -- Pparγ Agonists -- Dipeptidyl Peptidase-4 (Dpp4) Inhibitors -- GLP1 Receptor Agonists -- Sodium-Glucose Co-Transporter-2 (Sglt2) Inhibitors -- Breastfeeding -- Multiple-Choice Questions -- References -- Chapter 16 Advances in Insulin Therapy -- Introduction -- Continuous Subcutaneous Insulin Infusion -- Continuous Glucose Monitoring -- Sensor-Augmented Pump (SAP) Therapy -- Closed-Loop Insulin Delivery Systems -- Conclusions and Future Directions -- Multiple-Choice Questions -- Acknowledgments -- References -- Chapter 17 Putting Pregnant Women with Diabetes on the Pump -- Introduction -- Initiating Insulin Pump Therapy.
Changing Insulin Requirements During Pregnancy -- Steroids for Fetal Lung Maturation -- Other Considerations Specific to Pregnancy -- The Peripartum Period -- Breastfeeding and the Postpartum Period -- Future Directions -- Multiple-Choice Questions -- References -- Chapter 18 Pregnancy, Perinatal, and Fertility Outcomes Following Bariatric Surgery -- Introduction -- Classifications of Bariatric Surgery -- Fertility -- Contraception -- Surgery-to-Conception Interval -- Miscarriage -- Preterm Labor -- Hypertensive Disorders of Pregnancy -- Gestational Diabetes Mellitus -- Cesarean Section -- Fetal Outcomes -- Summary -- Future Directions -- Multiple-Choice Questions -- References -- Chapter 19 Fetal Surveillance -- Background -- Pathophysiology of Fetal Compromise in Diabetes in Pregnancy -- Accelerated Fetal Growth -- Fetal Surveillance in Pre-gestational Diabetes (Type 1 or Type 2) and Gestational Diabetes Mellitus (Gdm) -- Fetal Surveillance Methods: What is the Future? -- Practical Approaches to Fetal Surveillance -- Research Directions -- Multiple-Choice Questions -- Acknowledgment -- References -- Chapter 20 Complications in Pregnancy: Hypertension and Diabetic Nephropathy in Diabetes in Pregnancy -- Hypertension in the Nonpregnant Diabetic Population -- Hypertensive Disorders in Pregnancy -- Practical Aspects of Detecting Hypertension in Pregnancy -- Principles for Treatment of Hypertension in Pregnancy -- Choice of Antihypertensive Drugs for Use Before and During Pregnancy -- Antihypertensive Drugs During Breastfeeding -- Future Directions -- Multiple-Choice Questions -- References -- Chapter 21 Retinopathy in Diabetic Pregnancy -- Introduction -- Overview of Diabetic Retinopathy Classification -- Risk Factors for Progression of Diabetic Retinopathy -- Risk Factors for Diabetic Retinopathy Progression During Pregnancy.
Possible Mechanisms of Diabetic Retinopathy Progression During Pregnancy -- Clinical Management of Retinopathy Before, During, and After Pregnancy -- The Way Forward -- Multiple-Choice Questions -- References -- Section IV Delivery and Postnatal Care -- Chapter 22 Delivery and Postdelivery Care: Obstetric Management of Labor, Delivery, and the Postnatal Period for Women with Type 1, Type 2, or Gestational Diabetes Mellitus -- Background -- Timing of Delivery -- Mode of Delivery -- Planned Cesarean Delivery - Practical Issues -- Induction of Labor - Practical Issues -- Specific Obstetric Issues in the First Stage of Labor -- Specific Obstetric Issues in the Second Stage of Labor -- Specific Issues Postnatally -- Follow-Up Arrangements -- Conclusions -- Multiple-Choice Questions -- References -- Chapter 13 Diabetic Management in Labor, Delivery, and Postdelivery -- Background -- Before Delivery -- During Delivery -- Diabetes Type -- Insulin Infusion Regimens -- Maternal Glucose Control Postpartum -- Breastfeeding -- Summary and Future Research Directions -- Multiple-Choice Questions -- References -- Chapter 24 Delivery and Postdelivery Care: Care of the Neonate -- Background -- Care of the Healthy Infant After Well-Controlled Diabetes in Pregnancy -- Neonatal Complications - Etiology and Management -- Long-Term Outcomes -- Summary - Minimizing Risk -- Multiple-Choice Questions -- References -- Chapter 25 Postpartum Contraception for Women with Diabetes -- Background -- Important Contraceptive Safety Considerations in Women With Diabetes -- Timing of Contraceptive Initiation -- Contraceptive Options by Method -- Case Follow-Up -- Future Directions -- Multiple-Choice Questions -- References -- Chapter 26 Breastfeeding and Diabetes -- Breastfeeding and Diabetes -- The Impact of Diabetes on Lactogenesis.
The Effect of Diabetes on the Composition of Breast Milk.