Zelig CM
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»
