Dubai Aims High as it Plans to Open World’s Biggest Mall and Tallest Hotel
By Health Canal | November 27, 2012 3:01 PM EST
Women with more common type may have better outcomes
Pregnant women with Type 2 diabetes have a better chance at good outcomes than those with Type 1, particularly if they receive proper care before and during their pregnancy, according to a University of Rochester Medical Center (URMC) study published in the Journal of Reproductive Medicine (Nov. 2012).
"With the rapid rise of Type 2 diabetes in reproductive-age women, it is important to look at it separate from Type 1 so we know how best to support and care for Type 2 diabetics to promote the best possible outcomes in pregnancy," said Eva K. Pressman, M.D., professor of obstetrics and gynecology and head of the division of maternal fetal medicine at URMC. Historically, research on diabetes in pregnancy did not differentiate between the two types, according to Pressman.
The URMC study revealed that Type 1 diabetics had a higher incidence of complications and of poor outcomes than the Type 2 and non-diabetic women. For example, 20 percent of the Type 1 diabetics had preeclampsia, a condition marked by elevated blood pressure and protein in the urine, compared with 14 percent of Type 2 and 1 percent of non-diabetics. Type 1 mothers who had never had a cesarean delivery had a 50 percent cesarean-section rate, compared with 27 percent for Type 2 and 13 percent for non-diabetics.
Babies of Type 2 diabetics in the study had a higher incidence of being large for their gestational age, at 38 percent, versus 23 percent for Type 1 moms and just 3 percent for non-diabetic moms. Eighty-five percent of babies born to Type 1 moms required admission to the neonatal intensive care unit, compared with 71 percent born to Type 2 moms and 11 percent of non-diabetic moms.
Pressman, who co-authored the study with URMC colleagues Loralei L. Thornburg, M.D., and Kristin M. Knight, M.D., reviewed medical records from a six-year period ending in 2006, comparing pregnancies and outcomes of 64 women with Type 1 and 64 women with Type 2, to those of 256 non-diabetic women. Not surprisingly, on the whole, non-diabetic mothers and their babies fared better than diabetics in terms of outcomes from childbirth.
"Further studies that distinguish Type 1 and Type 2 diabetes, using comparisons with non-diabetic control groups, will become increasingly important as we seek to improve outcomes for women and their babies in light of the rising prevalence of Type 2 diabetes," Pressman said.
Most Popular Slideshows
- Flight MH17 Attack: Russians Claim 'Putin A Terrorist,' Memorial at Dutch Embassy Overflows [PHOTOS]
- Typhoon Rammasun Claims 18 Lives in China, Incurs $4.32B Losses (PHOTOS)
- Ellen DeGeneres Caught Cheating with Mutual Friend Before Portia de Rossi’s Rehab – Reports [PHOTOS]
- Malaysia Airlines MH17: Vital Black Boxes Finally Land in Hands of Malaysian Authorities, Rebels Announce Ceasefire (PHOTOS/VIDEOS)
Join the Conversation
- HIV/AIDS Cure a Step Closer with Anti-Cancer Drugs 'Kicking' Virus Out of Infected Cells
- 232 Teeth Extracted from a Teenager: World Record
- Dwayne Johnson Talks About Overcoming Depression
- Johns Hopkins Hospital Agrees To Pay $190 Million To Settle Gynaecology Scandal
- Heart Diseases Can Be Healed with Fat: Study Says
- Samsung Galaxy Note 4 Apps Leak Online, Five Fresh Features to Expect from the Android Smartphone
- Moto 360 Price Speculations, Key Features, Strategic Release Date, Design: A Watch That is More Than Just Time
- Windows Phone 8.1 Update Rollout: 20 Nokia Lumia Phones Eligible and 13 New Features to be Added
- Three New Moto G Successors Spotted in FCC Document Dubbed Moto G2, Moto M and More --Reports
- iPad Air 2 Release Date Will Skip IGZO Panel; To Rollout with Super-Slim iPad Mini Air
- Upcoming iPad Mini 3 Could be 30% Thinner and Likely be Called iPad Mini Air; Apple Q3 Results Show 9% Decrease in iPad Sales
- HTC Google Nexus 8 Release Date Imminent with New Nexus 7 Deals, Two New Tablets Soon