Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem

Diabetic nephropathy (DN) is specific kidney damage in patients with diabetes mellitus. DN develops relatively often in pregestational diabetes patients (5,9-26%) and stills one of the main limitations for successful pregnancy in this patients’ group. Advanced DN increases risks of poor pregnancy ou...

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Autores principales: Ekaterina S. Shilova, Natalya V. Borovik, Maria I. Yarmolinskaya
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Lenguaje:EN
RU
Publicado: Endocrinology Research Centre 2020
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Acceso en línea:https://doaj.org/article/89b8e63a71404d6f874d42b1ee779812
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spelling oai:doaj.org-article:89b8e63a71404d6f874d42b1ee7798122021-11-14T09:00:23ZDiabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem2072-03512072-037810.14341/DM12228https://doaj.org/article/89b8e63a71404d6f874d42b1ee7798122020-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12228https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Diabetic nephropathy (DN) is specific kidney damage in patients with diabetes mellitus. DN develops relatively often in pregestational diabetes patients (5,9-26%) and stills one of the main limitations for successful pregnancy in this patients’ group. Advanced DN increases risks of poor pregnancy outcomes for women and fetuses including chronic kidney disease (CKD) progression, high rate of preeclampsia, preterm deliveries, Cesarean sections, perinatal mortality and neonatal morbidity. At the same time there are more and more successful pregnancies with advanced DN in the wold.In our paper we systematize global experience of planning and management pregnancies with type 1 diabetes and DN in different stages of renal impairment. We discuss role of nephroprotective therapy in preconception care, achievement and maintaining blood pressure goals, multidisciplinary team care for improvement pregnancy outcomes in type 1 diabetic women with DN.Ekaterina S. ShilovaNatalya V. BorovikMaria I. YarmolinskayaEndocrinology Research Centrearticletype 1 diabetes mellitusdiabetic nephropathypreconception carepregnancyNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 4, Pp 340-348 (2020)
institution DOAJ
collection DOAJ
language EN
RU
topic type 1 diabetes mellitus
diabetic nephropathy
preconception care
pregnancy
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle type 1 diabetes mellitus
diabetic nephropathy
preconception care
pregnancy
Nutritional diseases. Deficiency diseases
RC620-627
Ekaterina S. Shilova
Natalya V. Borovik
Maria I. Yarmolinskaya
Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem
description Diabetic nephropathy (DN) is specific kidney damage in patients with diabetes mellitus. DN develops relatively often in pregestational diabetes patients (5,9-26%) and stills one of the main limitations for successful pregnancy in this patients’ group. Advanced DN increases risks of poor pregnancy outcomes for women and fetuses including chronic kidney disease (CKD) progression, high rate of preeclampsia, preterm deliveries, Cesarean sections, perinatal mortality and neonatal morbidity. At the same time there are more and more successful pregnancies with advanced DN in the wold.In our paper we systematize global experience of planning and management pregnancies with type 1 diabetes and DN in different stages of renal impairment. We discuss role of nephroprotective therapy in preconception care, achievement and maintaining blood pressure goals, multidisciplinary team care for improvement pregnancy outcomes in type 1 diabetic women with DN.
format article
author Ekaterina S. Shilova
Natalya V. Borovik
Maria I. Yarmolinskaya
author_facet Ekaterina S. Shilova
Natalya V. Borovik
Maria I. Yarmolinskaya
author_sort Ekaterina S. Shilova
title Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem
title_short Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem
title_full Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem
title_fullStr Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem
title_full_unstemmed Diabetic nephropathy in type 1 diabetes and pregnancy. Modern view of the problem
title_sort diabetic nephropathy in type 1 diabetes and pregnancy. modern view of the problem
publisher Endocrinology Research Centre
publishDate 2020
url https://doaj.org/article/89b8e63a71404d6f874d42b1ee779812
work_keys_str_mv AT ekaterinasshilova diabeticnephropathyintype1diabetesandpregnancymodernviewoftheproblem
AT natalyavborovik diabeticnephropathyintype1diabetesandpregnancymodernviewoftheproblem
AT mariaiyarmolinskaya diabeticnephropathyintype1diabetesandpregnancymodernviewoftheproblem
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