Vnitr Lek 2002, 48(12):1118-1122

[Preconception care of the type I diabetic patient from the viewpoint of the diabetologist].

A Smahelová: Diabetologické centrum, Klinika gerontologická a metabolická Lékarské fakulty UK a FN Hradec Králové.

High standard metabolic compensation of diabetes reduces in a significant way the risk of developmental defects and the perinatal morbidity of children of diabetic mothers and the maternal mortality. A considerable proportion of diabetic women is inadequately informed on the risks of pregnancy. As many as two thirds of pregnancies in diabetic women are unplanned and thus the risk of inadequate compensation of diabetes in early stages of pregnancy increases. Preparation of diabetic women for planned pregnancy is therefore very important. Ensuring long-term normal blood sugar levels in type 1 diabetics has many pitfalls and involves in particular optimal insulin treatment and systematic and high standard control of the blood sugar level and other parameters.