BMJ  2006;333:157-158 (22 July), doi:10.1136/bmj.333.7560.157

Editorial

Diabetes and pregnancy

Type 2 diabetes needs the same level of care as type 1

The first 150 words of the full text of this article appear below.

The evidence that rates of type 2 diabetes in pregnancy are rising is largely based on global figures¹ and individual clinicians' reports of younger pregnant women with the condition.² Until recently, care for women with diabetes in pregnancy has focused on type 1 diabetes. A paper in this week's BMJ finds that high rates of congenital anomalies, stillbirth, and neonatal death were reported in women with type 2 diabetes as well as those with type 1 diabetes.³

Data on trends and variations in prevalence in pregnancy are sparse and based largely on indigenous and migrant populations in North America and New Zealand.² Comparisons between studies are difficult as inclusion criteria are inconsistent. Studies vary according to whether they count miscarriages or terminations in their adverse outcomes and whether they include women who are diagnosed as having diabetes in pregnancy and are subsequently found to have type 2 diabetes. Migration . . . [Full text of this article]

Department of Midwifery, City University, London EC1Y 4TY
(A.J.Macfarlane@city.ac.uk)

Bradford Royal Infirmary, Bradford BD9 6RJ

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