In developed countries the incidence of gestational diabetes lies between 1 and 8%. With the general decrease of perinatal mortality and morbidity, the complications arising from gestational diabetes have become more striking and significant. Moreover, impaired maternal carbohydrate metabolism may lead to non genetic fuel mediated disposition to diabetes in the offspring. The renewed topicality has greatly stimulated research in this field. This book provides both a general survey and the current thinking on special questions of gestational diabetes. It also deals with related topics such as…mehr
In developed countries the incidence of gestational diabetes lies between 1 and 8%. With the general decrease of perinatal mortality and morbidity, the complications arising from gestational diabetes have become more striking and significant. Moreover, impaired maternal carbohydrate metabolism may lead to non genetic fuel mediated disposition to diabetes in the offspring. The renewed topicality has greatly stimulated research in this field. This book provides both a general survey and the current thinking on special questions of gestational diabetes. It also deals with related topics such as epidemiology, prognosis, follow-up, contraception, etc. The book is addressed to obstetricians and other physicians engaged in prenatal care as well as to internists and neonatologists.
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Inhaltsangabe
Gestational Diabetes - Survey.- 1 Gestational Diabetes: A Survey and the Graz Approach to Diagnosis and Therapy.- Selected Topics on Gestational Diabetes.- A. The Significance of Gestational Diabetes.- 2 The World Scope of Gestational Diabetes.- B. On Physiologic and Pathophysiologic Features of Gestational Diabetes.- 3 Pathophysiological Background for Gestational Diabetes.- 4 The Human Placenta in Gestational Diabetes.- 5 Prevention of Placental Insufficiency Syndrom in Diabetic Pregnancies.- C. On Screening and Diagnostics in Gestational Diabetes.- 6 Gestational Diabetes, Significance of Risk Factors and Results of a Follow-up Study 8 Years After Delivery.- 7 The Oral 100 g-Glucose-Tolerance Test-Special Criteria for Evaluation in Late Pregnancy.- 8 Glucosylated Proteins in Normal and Diabetic Pregnancy.- 9 Glycosylated Haemoglobins and Neonatal Macrosomia.- 10 Recurrence of Gestational Diabetes in Subsequent Pregnancies.- D. On Prophylaxis and Therapy in Gestational Diabetes.- 11 Preconceptional Diabetes Counseling in Gestational Diabetes.- 12 The Use of Prophylactic Insulin in Women with Gestational Diabetes.- 13 Insulin Treatment of Gestational Diabetes. The Basal Bolus Concept.- E. On the Fetus and Newborn of Gestational Diabetic Women.- 14 Fetal Consequences of Maternal Diabetes.- 15 Macrosomia and Birth Trauma in Infants of Diet Treated Gestational Diabetic Women.- 16 Fetal Hemoglobin in the Infant of Gestational Diabetic Mothers (IGDM).- 17 Somatometric Study in the Infant of Gestational Diabetic Mother.- 18 The Impact of Diet-induced Ketosis During Pregnancy on the Offspring.- F. On Oral Contraception in Gestational Diabetes.- 19 Oral Contraceptives in Women with Previous Gestational Diabetes: Influence on Glucose Metabolism.- G. On the Further Fate ofWomen Who Had Gestational Diabetes.- 20 Follow-up Studies in Women with Gestational Diabetes Mellitus. The Experience at Los Angeles Country/University of Southern California Medical Center.- 21 The Emergence of Diabetes and Impaired Glucose Tolerance in Women Who Had Gestational Diabetes.- References.- Acknowledgements and Grants.
Gestational Diabetes - Survey.- 1 Gestational Diabetes: A Survey and the Graz Approach to Diagnosis and Therapy.- Selected Topics on Gestational Diabetes.- A. The Significance of Gestational Diabetes.- 2 The World Scope of Gestational Diabetes.- B. On Physiologic and Pathophysiologic Features of Gestational Diabetes.- 3 Pathophysiological Background for Gestational Diabetes.- 4 The Human Placenta in Gestational Diabetes.- 5 Prevention of Placental Insufficiency Syndrom in Diabetic Pregnancies.- C. On Screening and Diagnostics in Gestational Diabetes.- 6 Gestational Diabetes, Significance of Risk Factors and Results of a Follow-up Study 8 Years After Delivery.- 7 The Oral 100 g-Glucose-Tolerance Test-Special Criteria for Evaluation in Late Pregnancy.- 8 Glucosylated Proteins in Normal and Diabetic Pregnancy.- 9 Glycosylated Haemoglobins and Neonatal Macrosomia.- 10 Recurrence of Gestational Diabetes in Subsequent Pregnancies.- D. On Prophylaxis and Therapy in Gestational Diabetes.- 11 Preconceptional Diabetes Counseling in Gestational Diabetes.- 12 The Use of Prophylactic Insulin in Women with Gestational Diabetes.- 13 Insulin Treatment of Gestational Diabetes. The Basal Bolus Concept.- E. On the Fetus and Newborn of Gestational Diabetic Women.- 14 Fetal Consequences of Maternal Diabetes.- 15 Macrosomia and Birth Trauma in Infants of Diet Treated Gestational Diabetic Women.- 16 Fetal Hemoglobin in the Infant of Gestational Diabetic Mothers (IGDM).- 17 Somatometric Study in the Infant of Gestational Diabetic Mother.- 18 The Impact of Diet-induced Ketosis During Pregnancy on the Offspring.- F. On Oral Contraception in Gestational Diabetes.- 19 Oral Contraceptives in Women with Previous Gestational Diabetes: Influence on Glucose Metabolism.- G. On the Further Fate ofWomen Who Had Gestational Diabetes.- 20 Follow-up Studies in Women with Gestational Diabetes Mellitus. The Experience at Los Angeles Country/University of Southern California Medical Center.- 21 The Emergence of Diabetes and Impaired Glucose Tolerance in Women Who Had Gestational Diabetes.- References.- Acknowledgements and Grants.
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