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Diabetes and Pregnancy

Diabetes and Pregnancy. Robbie Lindsay BHF Glasgow Cardiovascular Research Centre. Per annum 15,000 deliveries 67 women with T1DM 53 T2DM (0.8% of deliveries in 2015) ~2500 OGTT’s per annum. Pregnancy in women with T1DM and T2DM are high risk.

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Diabetes and Pregnancy

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  1. Diabetes and Pregnancy Robbie Lindsay BHF Glasgow Cardiovascular Research Centre

  2. Per annum 15,000 deliveries 67 women with T1DM 53 T2DM (0.8% of deliveries in 2015) ~2500 OGTT’s per annum

  3. Pregnancy in women with T1DM and T2DM are high risk

  4. Pregnancy in women with T1DM and T2DM is high risk

  5. Pre pregnancy planning in type 1 and type 2 diabetes Pre pregnancy planning folic acid HbA1c control at risk medications statins ACE ARB complications • Bell et al Diabetologia

  6. Can we help women prepare for pregnancy better?

  7. General obstetric population in GG&C 24% of women BMI>30 at booking 14.9% BMI 30-34.9 5.8% BMI 35-39.9 2.2% BMI 40-44.9 0.8% BMI over 45 10.6% Family history diabetes 1.2% previous GDM 13.3% at risk ethnicity

  8. Follow up Mothers Age 43.6 years 10.7% T2DM vs 1.6% 41.5% IFG or IGT vs 18.4% Mothers with Fasting ≥5.1 OR 1 hour ≥10.0 OR =14.3% 2 hour ≥8.5 mmol/l BMI 29.7 age 31.9 years fasting 4.9 1h 9.6 2 hour 7.7 mmol/l Follow up Children Age 11.5 years Obese 19.1% vs 9.9 % Overweight 20.4 vs 18.7% IGT 10.6% vs 5.0%

  9. Better counselling before pregnancy • Better detection GDM in pregnancy • Better prevention T2DM after pregnancy

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