Pre-gestational diabetes and pregnancy

Published on October 7, 2014   29 min

Other Talks in the Series: Diabetes in Perspective

In this talk, I will discuss pre-gestational diabetes, its impact on mother and the developing child, and its management. First to introduce myself, I'm Jeremy Oats. I'm an obstetrician with a longstanding interest in the care of women with diabetes, both pre-gestational and gestational. I work in the Diabetes Service at the Royal Women's Hospital, Melbourne, Australia, which is a tertiary referral University-affiliated hospital.
Pre-gestational diabetes-- that is diabetes that predates the pregnancy-- comprises type 1 diabetes, previously called insulin dependent diabetes, reflecting its autoimmune etiology that results in the destruction of the beta islet cells of the pancreas. And now increasingly, type 2 diabetes. It is caused by increasing insulin resistance and an incapacity of the beta islet cells to secrete sufficient insulin to maintain normoglycemia. The other most common type of diabetes in pregnancy is gestational diabetes, which is the subject of a separate presentation.