A new era of diabetes in pregnancy care is here, one in which technology is very much interwoven with glucose management. In recognition of this, the fully revised seventh edition of this manual includes updates on how continuous glucose monitoring, sensors, and other technology have become tools for pregnant people to use in order to achieve the best outcomes.
Additionally, there is increased recognition of the vast disparities that exist in healthcare access and healthcare outcomes. Where possible, this edition provides updated data on management strategies with equipoise so that each patient can receive the most individualized, high-quality care.
Topics covered include:
Preparing for pregnancy
Lifestyle management for diabetes in pregnancy
Glycemic goals and assessment
Medications for diabetes in pregnancy
Risk assessment, fetal surveillance, and delivery
Postpartum care and contraception
Neonatal care
"Acknowledgments", Medical Management of Pregnancy Complicated by Diabetes, Erika F. Werner, MD, MS
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This edition was written on a strong foundation. While many of the authors returned from the 6th edition, we would like to acknowledge and thank Drs. Nansi Boghossian and Ebony Carter for their chapters in the prior edition that new authors edited for this text. We also continue to be extremely grateful to the prior editor, Dr. Donald Coustan. Dr. Coustan’s academic work and research forever changed diabetes-in-pregnancy care. Furthermore, he inspired generations of clinicians, educators and researchers. Not only is he a gifted writer and thinker, who is always willing to challenge and re-challenge clinical assumptions with data, but he prioritized patient-centered care for decades, long before it was the norm in medicine. Many of us have worked with or visited Dr. Coustan’s Diabetes in Pregnancy Clinic. He created a team-practice in which all members had equal voices in advocating and caring for patients. He taught many of us that every patient was the most important and that care should never stop evolving. Finally, we would like to acknowledge the contributions of the many health professionals who contributed to previous editions of this book:
Susan Biastre, RD, LDN, CDE
Richard M. Cowett, MD
Julie M. Daley, RN, MS, CDE
Stephanie Dunbar, MPH, RD
Carol J. Homko, RN, PhD, CDE
Donna Jornsay, RN, BSN, CPNP, MSS, ACSW
Sue Kirkman, MD
John L. Kitzmiller, MD
Siri Kjos, MD, MSEd
Abbot R. Laptook, MD
Lisa Marasco, MA, IBCLC, FILCA
Noreen Hall Papatheodorou, MSS, ACSW
Anne M. Patterson, RD, MPH