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A Practical Manual of Diabetes in Pregnancy

A Practical Manual of Diabetes in Pregnancy

David McCance (Editor), Michael Maresh (Editor), David A. Sacks (Editor)

ISBN: 978-1-405-17904-1

Apr 2010, Wiley-Blackwell

280 pages


Edited and authored by international experts,A Practical Manual of Diabetes in Pregnancy presents multi-disciplinary evidence-based guidance relevant for all those caring for women with pre-existing or gestational diabetes.

Divided into five sections, the book covers everything from preconception to postnatal care, as well as detailing the risks associated with diabetic pregnancy and the long term implications for the mother and baby:

  • Epidemiology and pathophysiology
  • Impaired glucose tolerance and gestational diabetes
  • Prepregnancy and pregnancy care
  • Complications in pregnancy
  • Delivery and post delivery care

This practical resource contains treatment recommendations based on the latest research to ensure pregnant women with diabetes receive the best possible care.

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List of Contributors.



Section 1 Epidemiology and PathoPhysiology.

1 Epidemiological context of diabetes in pregnancy (David Simmons).

2 Pathophysiology of diabetes in pregnancy (Francine H. Einstein).

3 The placenta in diabetic pregnancy (Ursula Hiden and Gernot Desoye).

Section 2 Impaired glucose tolerance and gestational diabetes.

4 The historical context of hyperglycaemia in pregnancy (David R. Hadden).

5 Screening for hyperglycaemia in pregnancy (David A. Sacks).

6 Diagnosis of hyperglycaemia in pregnancy (Marshall W. Carpenter).

7 Rationale for treatment of hyperglycaemia in pregnancy (Robert Fraser).

Section 3 Prepregnancy and Pregnancy Care.

8 Pre-pregnancy care for Type 1 and Type 2 Diabetes (Rosemary C. Temple).

9 Provision of pregnancy care (Susan Quinn, Gretta Kearney, Nazia Arfin, Kirsty Shaw, Martin K Rutter).

10 Insulin regimens in pregnancy (David R. McCance and Valerie A. Holmes).

11 Oral hypoglycaemic agents in pregnancy (Denice S. Feig).

12 Fetal surveillance in diabetic pregnancies (Joanna Girling and Archana Dixit).

13 Diet and exercise in diabetic pregnancy (Anita Banerjee and Anne Dornhorst).

Section 4 Complications in pregnancy.

14 Malformations and miscarriages in diabetic pregnancy (Elisabeth R Mathiesen and Peter Damm).

15 Hypertension in diabetic pregnancy (Elisabeth R Mathiesen, Lene Ringholm Nielsen, Peter Damm).

16 Nephropathy in diabetic pregnancy (Baha M. Sibai).

17 Retinopathy in diabetic pregnancy (Catherine B. Meyerle and Emily Y. Chew).

18 Autonomic Neuropathy in Diabetic Pregnancy (Jenny E. Myers).

19 Ketoacidosis in diabetic pregnancy (Bob Young).

Section 5 Delivery and post delivery care.

20 Obstetric management in labour, delivery and post delivery (Michael Maresh).

21 Diabetic management in labour, delivery and post delivery (Ciara McLaughlin and David R. McCance).

22 Care of the neonate (Jane M. Hawdon).

23 Contraception for the woman with diabetes (Penina Segall-Gutierrez and Siri L. Kjos).

24 Longterm implications for the mother of hyperglycaemia in pregnancy (Jorge H. Mestman).

25 Longterm implications for the baby of the hyperglycaemic mother (David J. Pettitt).

Useful sources.


"This book attempts to be a definitive resource on the topic of diabetic complications unique to pregnancy. It does very well in achieving this goal. It is very easy to read and the material has good clinical applicability." (Doddy's, 9 September 2011)

"Each chapter commences with important learning points, includes a patient vignette and ends with a detailed summary of references. This evidence-based book will be invaluable for anyone aiming to provide the very best care for pregnant women with diabetes.” (Practical Diabetes International, 2010)