As the incidence of Type 2 diabetes is now taking off at such a pace we are also seeing increasing numbers of Type 2 diabetes in pregnant women. The issues regarding blood glucose control and adverse pregnancy outcomes are similar to those in Type 1 diabetes. That is to say it is the high blood glucose regardless of the cause is the central trigger of pregnancy related problems. The consensus is thus to establish as near normal diabetes control before and during pregnancy by whatever means, diet or medication.

More specifically regarding medication, insulin has traditionally been the treatment of choice. This has been the case until recently because the safety of oral hypoglycaemic agents have not been sufficiently accepted in pregnancy. There are now a number of positive published studies with both sulphonylureas but particularly with Metformin in women with Type 2 diabetes in pregnancy. These support the continued prescriptions of oral medication during pregnancy with the introduction of insulin in addition when necessary.

Fizzy Drinks and Fruit juice ‘The News story’
The News Story: Fizzy drinks and fruit juice cause Type 2 diabetes, opting for plain water might pre... more
Laser treatment for retinopathy
It always important when you are a diabetic to maintain good blood glucose and blood pressure contro... more
Diabetes and Cardiovascular Disease
Heart attacks and stroke are by far the most frequent cause of premature death with patients in diab... more
Nutrition and diabetes
In the past patients have been given a prescription called a diabetic diet with many foods banned. ... more
Kidneys and diabetes Kidney Disease (nephropathy)
Diabetes represents the commonest cause of kidney failure in the Western World, Normal functioning ... more
Feet and Diabetic Peripheral Neuropathy
We often forget about the importance of foot care. But simply having diabetes greatly increases the ... more