Diabetes in Pregnancy
During a normal pregnancy, maternal metabolism undergoes a number of changes in preparation for growth and development of the fetus, including a decrease in insulin sensitivity (or increase in insulin resistance) in the third trimester that results in increased availability of nutrients for fetal growth. During a pregnancy complicated by diabetes, such metabolic changes can complicate the management of diabetes, and diabetes, in turn, can result in a wide range of complications for both the mother and the child. This chapter provides an overview of current public health aspects of diabetes in pregnancy, including an overview of some of the challenges and opportunities for prevention.
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