Details the pathophysiology and clinical management of diabetes during pregnancy, covering type 1, type 2, and gestational varieties. The text explains how placental hormones drive insulin resistance and the specific risks posed to fetal development, such as macrosomia and congenital anomalies. Healthcare providers are given structured protocols for preconception counseling, glucose monitoring, and insulin dosing to maintain maternal-fetal health. Furthermore, the source outlines essential lifestyle interventions, including specialized dietary budgets and the benefits of breastfeeding for long-term metabolic recovery. It also evaluates the safety of oral hypoglycemic agents and various contraceptive methods for postpartum patients with diabetic histories. Diagnostic strategies like ultrasound evaluation and antenatal testing are emphasized as vital tools for preventing stillbirth and ensuring safe delivery timing.
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