Clinical Review Interactive case report

A 35 year old woman with diabetic nephropathy who wants a baby: case presentation

BMJ 2004; 329 doi: (Published 16 September 2004) Cite this as: BMJ 2004;329:674
  1. Giorgina Barbara Piccoli (, nephrologist1,
  2. Elisabetta Mezza, nephrologist1,
  3. Giorgio Grassi, diabetologist2,
  4. Manuel Burdese, nephrologist1,
  5. Tullia Todros, associate professor3
  1. 1 Chair of Nephrology, Department of Internal Medicine, University of Turin, Corso Dogliotti, 14-10126 Turin, Italy
  2. 2 Diabetic Care Unit, Department of Internal Medicine, University of Turin
  3. 3 Department of Obstetrics and Gynaecology, University of Turin
  1. Correspondence to: G B Piccoli

    Maria Tomasa (Tommy) is a 35 year old woman with diabetic nephropathy. She has been diabetic since the age of 15 and has developed several complications, including retinopathy (requiring laser therapy) and mild hypertension. She desperately wants a baby despite being advised against it by her diabetologist. Indeed, she changed where she was referred for diabetic care until she found a group of care givers mildly tolerant of a pregnancy.

    Five years ago she had a spontaneous abortion in the …

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