Pre‐Pregnancy Care in Type 1 and Type 2 Diabetes

47‐Fold rise of diabetes in childbearing age Chilean women: Markov model and cost‐effectiveness of prevention of birth defects

“…There are specific issues contributing to birth defects and other poor pregnancy outcomes in T2DM, which include other medical co morbidities, such as obesity, suboptimal glucose control, potentially teratogenic drugs, older age, greater socioeconomic deprivation and ethnicity. 47 However, in our view the main issue is that half of WCBA-DM either do not know their diagnosis or are not attending medical care. This is particularly important since, when it has been available, prepregnancy care has proved to be useful in reducing birth defects and other poor pregnancy outcomes in T2DM.…”

“…Both pregestational T1DM and pregestational T2DM share similar complications in pregnancy, with high incidences of spontaneous abortion, preterm delivery, perinatal death and birth defects. There are specific issues contributing to birth defects and other poor pregnancy outcomes in T2DM, which include other medical co morbidities, such as obesity, suboptimal glucose control, potentially teratogenic drugs, older age, greater socioeconomic deprivation and ethnicity . However, in our view the main issue is that half of WCBA‐DM either do not know their diagnosis or are not attending medical care.…”

“…Despite the fact that T2DM is today the most common type of diabetes complicating pregnancy, little is currently being published about its effects on birth defects and about the need for diagnosing and caring for diabetes in WCBA. To date, there have been no studies of preconception care in the group of women with T2DM . In fact, as late as 2003, international recommendations for the reduction of birth defects in the developing world only mentioned preconception care of T1DM .…”

“…Despite the fact that T2DM is today the most common type of diabetes complicating pregnancy, 47 little is currently being published about its effects on birth defects and about the need for diagnosing and caring for diabetes in WCBA. To date, there have been no studies of preconception care in the group of women with T2DM.…”

“…To date, there have been no studies of preconception care in the group of women with T2DM. 47 In fact, as late as 2003, international recommendations for the reduction of birth defects in the developing world only mentioned preconception care of T1DM. 48 However, after 2005 the proportion of T2DM among women with pregestational diabetes has been increasing steadily, reaching values up to 55%.…”