Pregnancies affected by pregestational (also called preexisting) diabetes has significantly improved over the past several decades as\ insulin management improved and tighter glycemic control is achieved with glucose monitors.

Diabetes in pregnancy is classifed as followes:  

●Type 1 diabetes (autoimmune beta cell destruction, usually leading to absolute insulin deficiency):

a. Without vascular complications

b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc)

●Type 2 diabetes (progressive loss of insulin secretion, often in the setting of insulin resistance):

a. Without vascular complications

b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc)

●Gestational diabetes (diabetes of during pregnancy and not clearly overt [eg, type 1 or type 2 diabetes])

●Other diabetes (eg, genetic origin, drug- or chemical-induced)

This episode focuses on type 1 and type 2 diabetes in pregnancy and the principles of management.  

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