MANAGEMENT OF DIABETES MELLITUS DURING PREGNANCY

IS THE URE of the prepant diabetic, proper management of the diabetic state is the primary consideration. The management of her diabetes mellitus from day to day through pregnancy, delivery, and the postpartum period is a major concern of the health team, consisting of the obstehician, the internist, the nurse and the dietitian to whom her care is entrusted. The over-all topic of diabetes and pregnancy is considered elsewhere in this Symposium from the standpoint of pathophysiologic aspects (carbohydrate metabolism, endocrine patterns, renal function ), practical therapeutic considerations (prenatal care, time and mode of delivery, anesthesia, care of the infant), and complications both of the pregnancy and of the diabetes (tosemia, degenerative complications). This permits esclusive and detailed consideration here of the clinical diabetes mellitus and its management.

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