A PRACTICAL MANUAL OF DIABETES IN PREGNANCYThe second edition of A Practical Manual of Diabetes in Pregnancy offers a wealth of new evidence, new material, new technologies, and the most current approaches to care. With contributions from a team of international experts, the manual is highly accessible and comprehensive in scope. It covers topics ranging from preconception to postnatal care, details the risks associated with diabetic pregnancy, and the long-term implications for the mother and baby. The text also explores recent controversies and examines thorny political pressures.The manual's treatment recommendations are based on the latest research to ensure pregnant women with diabetes receive the best possible care. The text takes a multi-disciplinary approach that reflects best practice in the treatment of diabetes in pregnancy. The revised second edition includes:* New chapters on the very latest topics of interest* Contributions from an international team of noted experts* Practical, state-of-the-art text that has been fully revised with the latest in clinical guidance* Easy-to-read, accessible format in two-color text design* Illustrative case histories, practice points, and summary boxes, future directions, as well as pitfalls and what to avoid boxes* Multiple choice questions with answers in each chapterComprehensive and practical, the text is ideal for use in clinical settings for reference by all members of the multi-disciplinary team who care for pregnant women with diabetes. The manual is also designed for learning and review purposes by trainees in endocrinology, diabetes, and obstetrics.

Contributors ixForeword xiiiPreface xvSection I Introduction 11 Epidemiology of Diabetes in Pregnancy 3David Simmons2 Pathophysiology of Diabetes in Pregnancy 17Francine Hughes Einstein3 The Placenta in a Diabetic Pregnancy 31Ursula Hiden and Gernot DesoyeSection II Gestational Diabetes 474 Screening for Gestational Diabetes 49David A. Sacks5 Diagnostic Criteria for Hyperglycemia in Pregnancy 61Robert S. Lindsay6 Lifestyle Treatment 73Christina Anne Vinter and Dorte Møller Jensen7 Obesity and Diabetes in Pregnancy 87H. David McIntyre, Marloes Dekker Nitert, Helen L. Barrett and Leonie K. Callaway8 Metabolic Abnormalities in Gestational Diabetes 105Ravi Retnakaran9 Maternal Risk After the Gestational Diabetes Mellitus Pregnancy 115Lisa Chasan-Taber and Catherine KimSection III Diabetes Preceding Pregnancy 12710 Pre-Pregnancy Care in Type 1 and Type 2 Diabetes 129Rosemary C. Temple and Katharine P. Stanley11 Malformations 141Montserrat Balsells, Apolonia García-Patterson, Juan María Adelantado and Rosa Corcoy12 Provision of Pregnancy Care 153Jenny Myers, Susan Quinn, Gretta Kearney, Susan Curtis, Prasanna Rao-Balakrishna and Michael Maresh13 Problems Encountered More Frequently in Women with Type 1 Diabetes 167Una M. Graham, Michael Maresh and David R. McCance14 Problems Encountered More Frequently in Women with Type 2 Diabetes 179Lorie M. Harper15 Advances in Oral Anti-Diabetes Drugs in Pregnancy 189Geetha Mukerji and Denice S. Feig16 Advances in Insulin Therapy 203Gioia N. Canciani, Zoe A. Stewart and Helen R. Murphy17 Putting Pregnant Women with Diabetes on the Pump 215Peter Hammond18 Pregnancy, Perinatal, and Fertility Outcomes Following Bariatric Surgery 227Aubrey R. Raimondi and Eyal Sheiner19 Fetal Surveillance 243Dipanwita Kapoor and Nia Jones20 Complications in Pregnancy: Hypertension and Diabetic Nephropathy in Diabetes in Pregnancy 257Elisabeth R. Mathiesen, Lene Ringholm and Peter Damm21 Retinopathy in Diabetic Pregnancy 269Jesia Hasan and Emily Y. ChewSection IV Delivery and Postnatal Care 28522 Delivery and Postdelivery Care: Obstetric Management of Labor, Delivery, and the Postnatal Period for Women with Type 1, Type 2, or Gestational Diabetes Mellitus 287Jacques Lepercq23 Diabetic Management in Labor, Delivery, and Postdelivery 297Una M. Graham and David R. McCance24 Delivery and Postdelivery Care: Care of the Neonate 309Jane M. Hawdon25 Postpartum Contraception for Women with Diabetes 325Anita L. Nelson26 Breastfeeding and Diabetes 341Elizabeth StenhouseSection V Implications for the Future 35327 Implications for the Mother with Diabetes 355Ewa Wender-Ozegowska and David A. Sacks28 Diabetes in Pregnancy: Implications for the Offspring 367Anne P. Starling and Dana Dabalea29 From the Bench to the Bedside: Potential Future Therapies for Gestational Diabetes-The Enhancement of beta-Cell Mass and Function During Pregnancy 377David J. HillIndex 393