#AACE2021: Top 20-Updates on Diabetes and Pregnancy

Video Transcription

Video Summary

In this video, Dr. Linda Barber discusses updates in the management of diabetes and pregnancy. She highlights the importance of preconception counseling and screening for pre-existing diabetes, especially in women with risk factors such as obesity or a history of gestational diabetes. Dr. Barber discusses the goals of glucose control in pregnancy, recommending an A1C of 6.5 or less and fasting glucose levels less than 95. She emphasizes the importance of a multidisciplinary approach, including diet, exercise, and medication management. Dr. Barber discusses the use of insulin and other medications in pregnancy, including metformin, which she recommends stopping after 12 weeks due to concerns about fetal growth. She also discusses the use of continuous glucose monitors and insulin pumps, noting the potential benefits but also the need for careful monitoring and adjustments throughout pregnancy. Dr. Barber addresses the importance of postpartum care and contraceptive counseling to prevent unplanned pregnancies. She concludes by highlighting the ongoing research in this field and the importance of individualized care for women with diabetes and pregnancy.

Asset Subtitle

Linda A. Barbour, MD, MSPH | Leslie Eldeiry, MD

Keywords

diabetes management

pregnancy

preconception counseling

obesity

gestational diabetes

glucose control

A1C

insulin

metformin

continuous glucose monitors