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(O24.0) Diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent
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2 280 231 in individuals diagnosis diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent confirmed
1 714 deaths with diagnosis diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent
Diagnosis diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent is diagnosed Women are 99.97% more likely than Men
391
Men receive the diagnosis diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent
0 (less than 0.1%)Died from this diagnosis.
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2 279 840
Women receive the diagnosis diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent
1 714 (less than 0.1%)Died from this diagnosis.
Risk Group for the Disease diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent - Men aged 0 and Women aged 30-34
In Men diagnosis is most often set at age 0-1
Less common in men the disease occurs at Age 0-95+Less common in women the disease occurs at Age 0-9, 50-69, 75-95+
In Women diagnosis is most often set at age 10-49, 70-74
Disease Features diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent
Absence or low individual and public risk
Diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent - what does this mean
Diabetes mellitus in pregnancy occurs when a woman has pre-existing insulin-dependent diabetes mellitus prior to becoming pregnant. this type of diabetes is characterized by the body's inability to produce enough insulin to regulate blood sugar levels, which can lead to serious complications during pregnancy.
What happens during the disease - diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent
The pathogenesis of diabetes mellitus in pregnancy is complex and involves a combination of genetic, metabolic, and environmental factors. in insulin-dependent diabetes mellitus (iddm), the body's own immune system destroys the insulin-producing beta cells in the pancreas, resulting in a lack of insulin production. this leads to elevated blood glucose levels, which can cause complications during pregnancy such as pre-eclampsia, large for gestational age babies, and preterm labor. additionally, the increased glucose levels can cause an increase in fetal insulin production, leading to macrosomia and increased risk of birth injuries.
Clinical Pattern
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How does a doctor diagnose
- Obtain medical history and perform physical examination
- Measurement of glycosylated hemoglobin (HbA1c)
- Fasting plasma glucose (FPG) test
- Random plasma glucose (RPG) test
- Oral glucose tolerance test (OGTT)
- Urine testing for glucose and ketones
- Measurement of serum lipids
- Measurement of serum creatinine
- Measurement of serum albumin
- Assessment of fetal growth
- Ultrasound for fetal anatomy and biophysical profile
- Fetal echocardiogram
- Fetal blood sampling
Treatment and Medical Assistance
Main goal of the treatment: To ensure that mother and baby are healthy and that the diabetes is well controlled throughout the pregnancy.
- Monitoring of blood glucose levels and appropriate adjustment of insulin doses.
- Regular monitoring of fetal growth.
- Nutritional counseling to ensure adequate nutrition for both mother and baby.
- Regular monitoring of blood pressure.
- Regular monitoring of kidney and liver function.
- Regular screening for gestational diabetes.
- Regular screening for other complications of diabetes, such as retinopathy and neuropathy.
- Regular screening for infections.
- Regular monitoring of fetal heart rate.
- Regular monitoring of amniotic fluid volume.
- Regular exercise.
- Regular prenatal visits.
- Regular monitoring of blood lipids.
- Regular monitoring of weight.
- Regular monitoring of hemoglobin A1C levels.
- Regular monitoring of blood ketone levels.
9 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Diabetes mellitus in pregnancy: pre-existing diabetes mellitus, insulin-dependent - Prevention
To prevent diabetes mellitus in pregnancy, women should be screened for diabetes at the start of their pregnancy and regularly monitored throughout. women should also be encouraged to maintain a healthy lifestyle, including regular physical activity, eating a healthy diet, and maintaining a healthy weight. additionally, women should be educated on the signs and symptoms of diabetes and the importance of regular monitoring of their blood sugar levels.