Textbook of Diabetes and Pregnancy  book cover
3rd Edition

Textbook of Diabetes and Pregnancy

ISBN 9781482213607
Published June 14, 2016 by CRC Press
569 Pages 48 Color & 87 B/W Illustrations

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Book Description

Babies of women with diabetes are nearly five times more likely to be stillborn and almost three times more likely to die in the first three months. The incidence of gestational diabetes mellitus in the U.S. is high—between 3 and 7 percent—and rising. The condition is often complicated by other risk factors such as obesity and heart disease.

The Textbook of Diabetes and Pregnancy presents a comprehensive review of the science, clinical management, and medical implications of gestational diabetes mellitus, a condition with serious consequences that is on the increase in all developed societies. This new edition supports the latest initiatives and strategies of the International Federation of Gynecology and Obstetrics (FIGO) and adds chapters on noncommunicable diseases, obesity, bariatric surgery, and epidemiology outside Western cultures.

Written by a cadre of experts, the book provides a comprehensive, authoritative, and international view of gestational diabetes mellitus and will be invaluable to maternal-fetal medicine specialists, diabetologists, neonatologists, and a growing number of gynecologists and general physicians concerned with the management of noncommunicable diseases in pregnancy.

Table of Contents

Introduction: Merging the Legacies and Hypotheses: Maternal Medicine Meets Fetal Medicine. History of Diabetic Pregnancy. Metabolism in Normal Pregnancy. Intermediary Metabolism in Pregnancies Complicated by Gestational Diabetes. Nutrient Delivery and Metabolism in the Fetus. Pathogenesis of Gestational Diabetes Mellitus. Autoimmunity in Gestational Diabetes Mellitus. Epidemiology of Gestational Diabetes Mellitus. Genetics of Diabetic Pregnancy. Animal Models in Diabetes and Pregnancy Research. Pathologic Abnormalities of Placental Structure and Function in Diabetes. The Great Obstetric Syndromes: The Roots of Disease. Placental Origins of Diabesity and the Origin of Preeclampsia. Diagnosis of Gestational Diabetes Mellitus. Cost-Effectiveness of Screening and Management Programs for Gestational Diabetes Mellitus. Changing Health Policy: From Study to National Policy. Ideal Weight Gain in Diabetic Pregnancy. Medical Nutritional Therapy for Gestational Diabetes Mellitus. Pharmacologic Treatment of Gestational Diabetes Mellitus: When to Start and What Agent to Use. Gestational Diabetes Mellitus: The Consequences of Not Treating. Gestational Diabetes Mellitus in Multiple Pregnancies. Glycemic Goals in Diabetic Pregnancy and Defining a "Good Control": Maternal and Fetal Perspective. Insulin Therapy in Pregnancy. Use of Oral Hypoglycemic Agents in Pregnancy. The Drug Dilemma of Oral Antidiabetic Agents in Pregnancy: Metformin. Facing the Noncommunicable Diseases’ Global Epidemic: The Battle of Prevention Starts In Utero the FIGO Challenge. Links between Maternal Health and Noncommunicable Diseases. Diabetic Pregnancy in the Developing World. Managing Diabetic Pregnancy in China. Gestational Diabetes Mellitus, Obesity, and Pregnancy Outcomes. Obesity Versus Glycemic Control: Which Contributes More to Adverse Pregnancy Outcome? Pharmacological Treatment for the Obese Gestational Diabetes Mellitus Patient. Role of Exercise in Reducing the Risks of Gestational Diabetes Mellitus in Obese Women. Role of Bariatric Surgery in Obese Women Planning Pregnancy. Fetal Lung Maturity. Monitoring during the Later Stage of Pregnancy and during Labor: Glycemic Considerations. Timing and Mode of Delivery. Management of the Macrosomic Fetus. Congenital Malformations in Diabetic Pregnancy: Prevalence and Types. Diabetic Embryopathy in the Preimplantation Embryo. Postimplantation Diabetic Embryopathy. Fetal Malformations Detected with Magnetic Resonance Imaging in the Diabetic Mother. Continuous Glucose Monitoring in Pregnancy. Insulin Infusion Pumps in Pregnancy. Closed-Loop Insulin Delivery in Type 1 Diabetes Pregnancy. Noninvasive Glucose Monitoring. Reproduction and Its Impact on Health and Disease. Diabetes, Pregnancy, and the Developmental Origins of Health and Disease. Interventions to Improve Pregnancy Outcome in Obese Pregnancy: Implications for Mother and Child. Lifestyle Interventions to Reduce Risk of Diabetes among High-Risk Pregnant and Postpartum Women. Can Fetal Macrosomia Be Predicted and Prevented? Hypoglycemia in Diabetic Pregnancy. Hypertensive Disorders and Diabetic Pregnancy. Diabetic Retinopathy. Diabetic Nephropathy. Diabetic Ketoacidosis. Thyroid Disease in Pregnancy. Quality of Care for the Woman with Diabetes at Pregnancy. Early Pregnancy Loss and Perinatal Mortality. Short-Term Implications of Gestational Diabetes Mellitus: The Neonate. Long-Term Outcomes after Gestational Diabetes Mellitus Exposure in the Offspring. Metabolomics and Diabetic Pregnancy. Fetal Growth Restriction: Evidence-Based Clinical Management.

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Edited by

Moshe Hod, MD, professor (clinical) of obstetrics and gynecology, and director, Division of Maternal Fetal Medicine, Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Petah-Tiqva, Israel

Lois G. Jovanovic, MD, clinical professor of medicine, University of Southern California Keck School of Medicine, and adjunct professor of biomolecular science and engineering, University of California-Santa Barbara, and CEO and chief scientific officer, Sansum Diabetes Research Institute, Santa Barbara, USA

Gian Carlo Di Renzo, MD, PhD, professor and chairman, Department of Obstetrics and Gynecology, and director, Centre of Perinatal and Reproductive Medicine, University Hospital, Perugia, Italy

Alberto de Leiva, MD, PhD, Universitat Autònoma de Barcelona, Department of Endocrinology, Diabetes and Nutrition, Hospital de la Santa Creu i Sant Pau; EDUAB-HSP, CIBER-BBN, and Fundación DIABEM, Barcelona, Spain.

Oded Langer, MD, PhD, Babcock professor and chairman, Department of Obstetrics and Gynecology, St. Luke’s-Roosevelt Hospital Center, University Hospital for Columbia University, New York, New York, USA


"With over 500 pages The Textbook of Diabetes and Pregnancy, now in its third edition, continues to be a comprehensive and detailed review of all aspects of management ranging from the basic science, biochemistry and physiology of pregnancy, to the principles of clinical practice. Spread over fully referenced chapters written by international experts in their field, all aspects of the Impact of diabetes on pregnancy are discussed… It is an excellent reference book and a highly authoritative tome on an increasingly common condition."
—Dr Mark Freeman, Glycosmedia

“The book covers everything from the physiology of diabetes in pregnancy to questions about screening and treatment. Each subject is presented as a one-sentence topic and the index is created by listing these 63 topics, which makes the book seem like a list of speakers at a seminar. The chapters do an excellent job of presenting evidence-based guidance.”
—Anthony Shanks, MD, Indiana University School of Medicine, Doody’s Book Reviews

Praise for previous editions:

"… a comprehensive, thorough book devoted to one of the most common medical conditions to complicate pregnancy….No aspect of diabetes in pregnancy is left unexplored…. a very worthy purchase."
—Gilad A. Gross, MD, Washington University School of Medicine in Doody’s Book Reviews

"An excellent general resource ... well-suited for the trainee, particularly in obstetrics, who will care for the pregnant woman with diabetes and her offspring."
New England Journal of Medicine

"… an excellent resource for all clinicians caring for pregnant women with diabetes. I commend this textbook to any craving a fresh look at an old problem."