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Importance of long‐term care of diabetic women starting in pregnancy
Author(s) -
Loeken Mary R.
Publication year - 2017
Publication title -
diabetes/metabolism research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.307
H-Index - 110
eISSN - 1520-7560
pISSN - 1520-7552
DOI - 10.1002/dmrr.2906
Subject(s) - medicine , pregnancy , glycemic , nonstop , diabetes mellitus , type 2 diabetes , continuing care , intensive care medicine , pediatrics , obstetrics , nursing , endocrinology , genetics , computer science , biology , operating system
Large scale, multi‐center, controlled studies have demonstrated the importance of glycemic control, as indicated by HbA 1c levels, in reducing the incidence and progression of diabetic complications. However, Yasue Omori, who began practicing medicine in Tokyo 60 years ago, in 1957, has the vantage point of long‐term continuing care for women with type 2 diabetes, some for several decades. An internist who specializes in diabetic pregnancy, Dr Omori began caring for many of her patients during their pregnancies and continued to care for them following their deliveries, some now more than 50 years. Surprisingly, despite lack of optimal HbA 1c levels, they have suffered relatively few diabetic complications. As reported in “The importance of nonstop treatment after delivery for pregnant women with type 2 diabetes” in Diabetes/Metabolism Research and Reviews , Omori and colleagues present a historical perspective that provides evidence that a long‐term patient‐care giver relationship following pregnancy can be valuable in reducing the onset and progression of diabetic complications.