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<p>Pre-existing type&#xa0;1 diabetes is present in about one in 100 pregnancies. Compared to women without type&#xa0;1 diabetes, there is an increased risk for obstetrical complications and ante- and perinatal morbidity and mortality for the child. Inadequate or nonexistent pregnancy planning is a&#xa0;major contributor. Good preconception care and optimizing of metabolic control can significantly reduce risks. During pregnancy, the focus is not only on achieving tight blood glucose levels to prevent diabetic embryopathy and fetopathy, but also on maternal weight gain and the management of concomitant and secondary diseases. Technological aids such as hybrid closed-loop systems in particular may add significantly to improve metabolic control. Multidisciplinary care and individualized therapy are necessary.</p>

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Schwangerschaft und Typ-1-Diabetes

  • 期刊论文

  • 发表日期：

    2025年12月5日

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  • Ute Schäfer-Graf,
  • Michael Hummel

摘要

Pre-existing type 1 diabetes is present in about one in 100 pregnancies. Compared to women without type 1 diabetes, there is an increased risk for obstetrical complications and ante- and perinatal morbidity and mortality for the child. Inadequate or nonexistent pregnancy planning is a major contributor. Good preconception care and optimizing of metabolic control can significantly reduce risks. During pregnancy, the focus is not only on achieving tight blood glucose levels to prevent diabetic embryopathy and fetopathy, but also on maternal weight gain and the management of concomitant and secondary diseases. Technological aids such as hybrid closed-loop systems in particular may add significantly to improve metabolic control. Multidisciplinary care and individualized therapy are necessary.