Harold Kalter's A History of Diabetes in Pregnancy: The impact of maternal PDF

By Harold Kalter

ISBN-10: 9400715560

ISBN-13: 9789400715561

ISBN-10: 9400715579

ISBN-13: 9789400715578

Type 1 diabetes is a major and customary ailment, afflicting one according to two hundred of the inhabitants around the world. it really is generally believed to reason damaging actual maldevelopment--congenital malformations--and different results within the unborn teenagers of girls with the illness. This publication considers the historical past of the sickness in pregnant girls and this trust that it explanations anomalies because the time of the invention of insulin in 1921, and provides a profound and demanding appraisal of the topic of its intended prenatal harmfulness.

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Additional resources for A History of Diabetes in Pregnancy: The impact of maternal diabetes on offspring prenatal development and survival

Example text

This great accomplishment was recapitulated and the roles of several causes of it that came into play especially since the 1970s were enumerated in an excellent review (Kitzmiller 1993). The Two Forms of Diabetes Most of the diabetic pregnancies reported in the early decades of the insulin era concerned diabetes of pregestational onset. e. gestational diabetes, but often without presenting the outcomes for the two forms separately. Which is unfortunate because with time the perinatal death frequency in them, not very different in the earliest years, greatly diverged, improvement in the pregestational form greatly lagging behind the other.

E. of the features usually considered indicative of diabetes risk) in mothers of infants with specific malformations or malformations in general. Cardiac defects were found in 20–30% of children with immediate family members with diabetes, but not in any of their mothers, who were considered latent diabetics (Downing and Goldberg 1956a, b). Controls were lacking, whose need was indicated by a study that found no difference in the frequency of diabetes in the relatives of children with and without congenital heart disease (Fraser 1960).

And indeed they invariably had better outcomes than the smaller ones. But even this advantage largely 26 5 Perinatal Death faded away after the 1960s, as the steady reduction in the perinatal death rate all but wiped out this differential. The lower mortality frequency in the larger facilities nevertheless was surprising, because the better care they offered would have been offset to some extent by their patients largely being referred and hence more severely ill. As was recognized, the larger centers were attended by selected patients but who were “cooperative and superbly supervised” (Jones 1952), all in all, a puzzling situation.

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A History of Diabetes in Pregnancy: The impact of maternal diabetes on offspring prenatal development and survival by Harold Kalter


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