Mulla BM
620 John Paul Jones Circle, Portsmouth, VA,
Tanzania
Research Article
Is Previous Pregnancy Affected By Diabetes Mellitus Protective against Poor Glycemic Control at the Start of Subsequent Pregnancies?
Author(s): Mulla BM and Zelig CMMulla BM and Zelig CM
Aims/hypothesis: Poor glycemic control at conception, a strong risk factor for birth defects, is frequently
attributed to low rates of pre-conceptual counseling. The objective of this study was to determine if counseling during a first pregnancy with diabetes improved glycemic control at conception in subsequent pregnancies.
Methods: Case controlled. 71 diabetic women previously followed during pregnancy at a single tertiary center were divided into two groups, those with diabetes at the start of a previous pregnancy, and those without. The two groups were compared for glycemic control at conception; hemoglobin A1C ≥ 7 was considered poor control. The two groups were also compared for very poor control (hemoglobin A1C ≥ 9), pre-conceptual counseling, and preconceptual folic acid use.
Results: Poor glycemic control at conception was as prevalent in the 29 pre.. View More»
