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PREGNANCY IN DIABETES AND KIDNEY DISEASE
Author(s) -
Bramham Kate,
Rajasingham Daghni
Publication year - 2012
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2012.00270.x
Subject(s) - medicine , pregnancy , diabetes mellitus , diabetic nephropathy , proteinuria , diabetes in pregnancy , disease , renal function , nephropathy , kidney disease , type 2 diabetes , obstetrics , intensive care medicine , kidney , gestation , endocrinology , gestational diabetes , genetics , biology
SUMMARY With appropriate multi‐disciplinary team care, most women with diabetic nephropathy will have successful pregnancy outcomes; however, pregnancy complications are increased compared to non‐diabetic individuals, particularly in those with poor glycaemic control. Women with more severe renal impairment, especially those with hypertension and proteinuria at are highest risk of worse pregnancy outcomes and deterioration in pre‐existing renal function. Pre‐pregnancy counselling should be offered to all women with diabetes in order to optimise diabetic care, and inform women of potential complications. Pregnancy is an indicator of long‐term health, and may indicate important issues for the future management of women with diabetic nephropathy.