Psychology in Diabetes Care

By Frank J. Snoek; T. Chas Skinner | Go to book overview

3
Psychological Issues
in the Management of Diabetes
and Pregnancy

Maurice G. A. J. Wouters and Frank J. Snoek


3.1 Introduction

Pregnancy has a significant impact on most women with diabetes mellitus. Diabetic women who become pregnant are faced with increasing demands in managing their diabetes as it responds to the pregnancy. In addition, they are subjected to intensified medical care focussed on possible foetal problems, such as birth defects and maldevelopment, and diabetes-related complications.

Diabetes mellitus in pregnancy is associated with an increased risk of preeclampsia, spontaneous abortions, foetal malformations, stillbirths, macrosomia and related neonatal morbidity. In the last decades, it has become clear that poor glycaemic control is an important determinant of these problems.1’2 Achieving and maintaining optimum glucose regulation is considered of high relevance in minimizing the risk of these complications.

Unfortunately, diabetic women with good glycaemic control before and during pregnancy generally should not expect a normal rate of perinatal complications. In a prospective cohort study of 323 Dutch women with type 1 diabetes and overall good glycaemic control (HbAlc ≤ 7 percent), it was noticed that the rates of congenital malformations, macrosomia and perinatal death were still increased 3.5- to 4.5-fold as compared with national data.3

Next and related to medical problems, important psychological issues may arise and need to be addressed as part of a multidisciplinary team approach.

-53-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited page

Bookmark this page
Psychology in Diabetes Care
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this book
  • Bookmarks
  • Highlights & Notes
  • Citations
/ 205

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.