Diabetes And Pregnancy Term paper

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Tabarez 1

Daniel Tabarez

Diabetes and Pregnancy

Deciding to have a child is one of the most important decisions of people’s lives. Diabetes is a very serious disease. It attacks million people around the world many of them women. These women one day may be thinking about having a baby. Numerous precautions must be taken by women during pregnancy. Special safeguard must be taken by women with diabetes. These precautions need to be taken due to birth defects. “An estimated 1.5 million women of child-bearing age in the United States have

diabetes. A diabetic pregnancy is one of the leading causes of birth defects.” (Henderson pNA)

Diabetes can strike at any age and can occur in anyone. Although it is not exactly known for sure about the what causes it. Diabetes is believed to do with the body’s own immune system attacking and destroying insulin producing cells in the pancreas. There are two forms of Diabetes, Type I diabetes, also called insulin dependent diabetes. The second form, Type II diabetes, or non insulin dependent diabetes.

Before insulin was introduced women with diabetes were told that pregnancy was not for them. It is true that in the past, pregnancy did present major problems for women with diabetes. In the pre-insulin era, “Many diabetic women died before the child bearing age and those that survived were often infertile.” (Ellenberg 696) Their babies did not often survive. When insulin became available in the 1920’s, pregnancies became more common with diabetic women. Yet, the number of successful pregnancies remained far below that of women who did not have diabetes. Today

Tabarez 2

the news is good, It is now known that the key to a healthy pregnancy for women with diabetes is tight blood glucose control. The goal of tight control is to keep blood glucose levels as close to non-diabeteic or normal as possible.

Although the rate of successful pregnancies among women with diabetes has improved, there are still some problems with to be concerned about. “Pregnant women are who are insulin dependent Diabetic are more likely to deliver children with birth defects and more likely to deliver stillborn then the general population. They also have a much higher rate of miscarriages.” (Casson I.F. 275) We now know that many birth defects are related to the mother’s blood glucose control during the first eight weeks of pregnancy.

What is important to note is that many women may not even know they...

Books:
Ellenberg, Max M. D., et al., eds. Diabetes Mellitus: Theory and Practice. 3rd Ed., New York:Medical Examination Publishing Co., Inc. 1983
Hollingsworth, Dorothy Reycroft. Pregnancy, Diabetes, and Birth:A Management Guide. 2nd Ed., Baltimore: Williams & Wilkins.,1992
Periodical:
Casson, I.F. “Outcome of pregnancy in insulin dependent diabetic women:results of a five year population cohort study.” British Medical Journal 2 Aug. 1997: p275
Pasui, Kristine “Management of diabetes in pregnancy.” American Family Physician June 1997: p273
Henderson, Charles W. “Study Suggests Promising Treatment for Diabetic Pregnancies.” Transplant Weekly 17 May 1999: pNA You should cite this paper as follows:

MLA Style
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