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(5
): 470-7
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Diabetes und Schwangerschaft ? Update 2020
#MMPMIDC7243220
Kleinwechter H
ä-/-ä 2020[]; 16
(5
): 470-7
PMIDC7243220
show ga
In this short review, the current findings on coronoavirus disease 2019
(COVID-19) in pregnant women are presented. Self-monitoring of capillary blood
glucose levels is currently the gold standard in pregnant women. When using
subcutaneous glucose sensors, the time in range (TIR) of 63?140?mg/dl
(3.5?7.8?mmol/l) >70% should be reached as early as possible. In pregnant women
with pre-existing diabetes, there is a high risk for stillbirth in a fetus with
growth restriction. In the absence of evidence for improvement of relevant
endpoints, pharmacological therapies in pregnant women with early gestational
diabetes at <24?+?0 weeks of gestation should be considered critically. Women who
are obese prior to conception should not gain more than 6?kg during pregnancy. In
women who have undergone bariatric-metabolic surgery, there are advantages for
the mothers and increased risks for newborns, e.g., an increased rate of newborns
small for gestational age after Roux-en?Y gastric bypass.