VIDEO: Attend to insulin needs in type 1 diabetes during pregnancy

In this video exclusive, Caroline T. Nguyen, MD, talks with Steven G. Gabbe, MD, about caring for women with type 1 diabetes during pregnancy.

Nguyen is an assistant professor of clinical medicine, obstetrics and gynecology in the division of endocrinology, diabetes and metabolism at Keck School of Medicine at the University of Southern California. She is also an Endocrine Today Editorial Board Member.

Gabbe is emeritus CEO of The Ohio State University Wexner Medical Center and emeritus professor of obstetrics and gynecology at The Ohio State University College of Medicine in Columbus.

Diabetes self-management during pregnancy is both a burden and a challenge. Changing hormones throw off glucose levels even with the best management routines, and these changes also affect the developing fetus. Gabbe reviews newer insulin analogs and technologies that have changed disease management during pregnancy.

Gabbe also elaborates on the danger of decreasing insulin needs during pregnancy.

“Patients who had a 15% or more fall in their insulin requirement had a much greater likelihood of developing preeclampsia, and the fall in insulin needs preceded preeclampsia often by 3 or more weeks,” Gabbe said.

For More Information:

Nguyen and Gabbe are speaking on this topic and more as part of the USC Jorge H. Mestman Endocrine and Pregnancy Symposium taking place virtually on Feb. 18, 2023.

Register for the symposium at keckusc.cloud-cme.com/course/courseoverview?P=5&EID=5614.