Status and challenges of clinical management of type 1 diabetes mellitus complicated with pregnancy
10.3760/cma.j.cn113903-20241111-00747
- VernacularTitle:1型糖尿病合并妊娠临床管理的现状及挑战
- Author:
Hongli HUANG
1
;
Huixia YANG
Author Information
1. 北京大学第一医院妇产生殖医学中心，北京 100034
- Publication Type:Journal Article
- Keywords:
Type 1 diabetes mellitus;
Pregnancy;
Blood glucose;
Insulin
- From:
Chinese Journal of Perinatal Medicine
2025;28(1):23-27
- CountryChina
- Language:Chinese
-
Abstract:
For women with type 1 diabetes mellitus (T1DM) reaching reproductive age, the disease course generally protracted, often accompanied by varying degrees of microvascular complications. Hence, the need for preconception planning and comprehensive screening and management of complications is urgent to avoid serious maternal and fetal complications. The recommended preconception glycated hemoglobin control target is currently set at<6.5%. In cases of unintended pregnancies where pre-existing microvascular complications are present, multidisciplinary standardized management during the pregnancy is essential. Although a multidisciplinary expert consensus on gestational management of T1DM has been published in China in 2020, several issues remain regarding the clinical management of T1DM in pregnancy across the nation. Strengthening nutritionally balanced management, actively and reasonably utilizing insulin therapy, and leveraging new technologies such as the internet plus artificial intelligence hold promise to achieve more optimal glucose control, reduce the incidence of maternal and fetal complications associated with T1DM, and ultimately achieve favorable outcomes for both mother and child.
