Pregnancy

Facts
Pre-conception
Pregnancy
Caesarean Section
Report – Diabetes in Pregnancy: Caring for baby after birth [2007]
Breastfeeding and Weaning
Insulin analogues and pregnancy
Gestational Diabetes
Research – Pregnancy

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Facts

From a study carried out in Finland and published in Diabetic Medicine 2002, Vol looking at pregnancy from 22 weeks to one year after birth.

  • The rate of congenital abnormalities in babies born to women with diabetes has not changed in recent years.
  • The perinatal mortality remains 3-5 times higher in women with diabetes than in non-diabetic women.
  • The proportion of perinatal deaths caused by congenital abnormalities has reduced but the post-natal mortality has significantly increased.
  • Diabetic mothers of malformed babies were significantly younger than mother of babies that were not malformed.
  • Nearly two thirds of the malformed babies were boys.

The study points out that the reduction in prenatal deaths and increase in post-natal deaths could be due to better care during pregnancy. But it is also worth noting that the mortality rate in the general population has also reduced markedly. In England in 1960 it was 32.5 per 1000 total births compared with 7.6 per 1000 births in 1992.

Note: A perinatal death is usually defined as death of the foetus after 28 weeks of pregnancy and the first week of the baby’s life.

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For more information on losing weight, please visit the NHS Choices website:

NHS Choices: pregnancy care planner

Content

HbA1c Converter

This is just to remind you that the HbA1c measurements have changed. Well, they were supposed to change everywhere but predictably this doesn't appear to be the case. Some people and some articles are still using the old measurements so it is important that we are aware of both.

Here is a table showing the current DCCT measurements, the proposed new IFCC measurements, and the average blood glucose measurements you can expect to be associated with each particular level of HbA1c

HbA1c (DCCT) Current measurement (%)

HbA1c (IFCC) Measurement from June 2011 (mmol/mol)

Average blood glucose level for this HbA1c, mmol/L

6

42

7.0 (range 5.5-8.5)

7

53

8.6 (range 6.8-10.3)

8

64

10.2 (range 8.1-12.1)

9

75

11.8 (range 9.4-13.9)

10

86

13.4 (range 10.7-15.7)

11

97

14.9 (range 12.0-17.5)

12

108

16.5 (range 13.3-19.3)

13

119

18.6 (range 14.6-21.1)