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Letters: Observations

Is Pregnancy Outcome Worse in Type 2 Than in Type 1 Diabetic Women?

  1. Natalia Hillman, MD,
  2. Lucrecia Herranz, MD, PHD,
  3. Pilar M. Vaquero, MD,
  4. Africa Villarroel, MD,
  5. Alberto Fernandez, BM and
  6. Luis F. Pallardo, MD, PHD
  1. From the Division of Diabetes, Department of Endocrinology and Nutrition, University Hospital La Paz, Madrid, Spain
  1. Address correspondence to Natalia Hillman Gadea, Division of Diabetes, Department of Endocrinology and Nutrition, University Hospital La Paz, 28046 Madrid, Spain. E-mail: nhillman.hulp{at}salud.madrid.org
Diabetes Care 2006 Nov; 29(11): 2557-2558. https://doi.org/10.2337/dc06-0680
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  • Table 1—

    Maternal and perinatal outcomes

    Type 2 diabetesType 1 diabetesP
    n*93532
    Prepregnancy BMI (kg/m2)28.9 ± 6.523.3 ± 3.1<0.001
    Maternal weight gain during pregnancy (kg)11.7 ± 5.013.7 ± 4.2<0.001
    Glycemic control during pregnancy
        A1C at admission (%)6.4 ± 1.197.2 ± 1.19<0.001†
        A1C second trimester (%)5.8 ± 0.846.3 ± 0.9<0.001†
        A1C third trimester (%)5.8 ± 0.766.2 ± 0.80.001†
    Insulin requirements
        First trimester (units/kg)0.38 ± 0.190.68 ± 0.18<0.001†
        Second trimester (units/kg)0.48 ± 0.230.76 ± 0.21<0.001†
        Third trimester (units/kg)0.62 ± 0.310.93 ± 0.26<0.001†
    Pregnancy-induced hypertension18 (19.4)82 (15.4)0.358
    Preeclampsia6 (6.5)17 (3.2)0.134
    Caesarean delivery41 (44.1)298 (56)0.032
    Gestational age (weeks of     gestation)37.1 ± 1.636.7 ± 1.70.018
    Preterm delivery28 (30.4)186 (35.4)0.406
    Birth weight (g)3,182 ± 6233,243 ± 6060.375
    Birth weight ratio1.09 ± 0.21.13 ± 0.180.019
    Large for gestational age22 (23.9)187 (35.6)0.032
    Small for gestational age3 (3.3)5 (1)0.100
    Perinatal mortality1 (1.1)9 (1.7)1.000
    Major congenital malformations6 (6.5)25 (4.7)0.442
    Neonatal hypoglycemia24 (26.1)172 (32.8)0.226
    Neonatal hyperbilirrubinemia34 (37)223 (42.5)0.359
    Neonatal hypocalcemia4 (4.3)30 (5.7)0.805
    Birth trauma7 (7.6)29 (5.5)0.467
    Neonatal sepsis9 (9.8)55 (10.5)1.000
    Neonatal polycythemia14 (15.2)71 (13.5)0.626
    Neonatal respiratory distress syndrome7 (7.6)95 (18.1)0.010
    • Data are means ± SD or n (%) unless otherwise indicated.

    • *

      ↵* In the case of stillbirths (one in type 2 and seven in type 1 diabetes), no perinatal data other than the presence of major congenital malformations was analyzed;

    • †

      ↵† adjusted for multiplicity.

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Diabetes Care: 29 (11)

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Is Pregnancy Outcome Worse in Type 2 Than in Type 1 Diabetic Women?
Natalia Hillman, Lucrecia Herranz, Pilar M. Vaquero, Africa Villarroel, Alberto Fernandez, Luis F. Pallardo
Diabetes Care Nov 2006, 29 (11) 2557-2558; DOI: 10.2337/dc06-0680

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Is Pregnancy Outcome Worse in Type 2 Than in Type 1 Diabetic Women?
Natalia Hillman, Lucrecia Herranz, Pilar M. Vaquero, Africa Villarroel, Alberto Fernandez, Luis F. Pallardo
Diabetes Care Nov 2006, 29 (11) 2557-2558; DOI: 10.2337/dc06-0680
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