Type 1 diabetes is a serious and common disease, afflicting one per 200 of the population worldwide. It is widely believed to cause harmful physical maldevelopment--congenital malformations--and other consequences in the unborn children of women with the disease. This book considers the history of the disease in pregnant women and this belief that it causes anomalies since the time of the discovery of insulin in 1921, and presents a profound and critical appraisal of the subject of its supposed prenatal harmfulness.

Babies of women with diabetes are nearly five times more likely to be stillborn and almost three times more likely to die in the first three months. The incidence of gestational diabetes mellitus in the U.S. is high—between 3 and 7 percent—and rising. The condition is often complicated by other risk factors such as obesity and heart disease. The Textbook of Diabetes and Pregnancy presents a comprehensive review of the science, clinical management, and medical implications of gestational diabetes mellitus, a condition with serious consequences that is on the increase in all developed societies. This new edition supports the latest initiatives and strategies of the International Federation of Gynecology and Obstetrics (FIGO) and adds chapters on noncommunicable diseases, obesity, bariatric surgery, and epidemiology outside Western cultures. Written by a cadre of experts, the book provides a comprehensive, authoritative, and international view of gestational diabetes mellitus and will be invaluable to maternal-fetal medicine specialists, diabetologists, neonatologists, and a growing number of gynecologists and general physicians concerned with the management of noncommunicable diseases in pregnancy.

Gestational diabetes mellitus is defined as hyperglycemia with onset or first recognition during pregnancy. The incidence of gestational diabetes is still increasing and this pathological condition has strong association with adverse pregnancy outcomes. Since gestational diabetes can have long-term pathological consequences for both mother and the child, it is important that it is promptly recognized and adequately managed. Treatment of gestational diabetes is aimed to maintain euglycemia and it should involve regular glucose monitoring, dietary modifications, life style changes, appropriate physical activity, and when necessary, pharmacotherapy. Adequate glycemic control throughout the pregnancy can notably reduce the occurrence of specific adverse perinatal and maternal outcomes. In a long-term prospect, in order to prevent development of diabetes later in life, as well to avoid associated complications, an adequate education on lifestyle modifications should start in pregnancy and continue postpartum.

Don't gamble on the most important exam of your career... ace the boards with The Johns Hopkins Internal Medicine Board Review! Brought to you from the birthplace of Internal Medicine and regarded as the most effective review tool in the specialty, it will ensure you're as equipped as possible on your way to certification or recertification. From internists to primary care physicians, this no-nonsense book is a must-have companion for everyone in the field. - Respected experts summarize just the imperative information you need to know for certification or recertification. - Comprehensive review text, bolded key information, and helpful tables and algorithms equip you with all the core knowledge you need. - Exam-taking tips and tricks allow you to go into the exam with confidence. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to test your skills and simulate the exam experience with over 1,000 additional exam questions in study and test modes. - Features full-color clinical images covering all the image types you'll see on the boards, including x-rays, common skin findings, peripheral blood smears, ophthalmology findings, and CT and MR images.

Summarizes the role of hormones in pregnancy and how to manage gestational disorders in patients.

The at a Glance series is popular among medical students and junior doctors for its concise and simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with colour summary diagrams on the left page and explanatory text on the right. Covering a wide range of topics, books in the at a Glance series are ideal as introductory subject texts or for revision purposes, and are useful throughout medical school and beyond. Everything you need to know about Obstetrics and Gynaecology...at a Glance! Following the familiar, easy-to-use at a Glance format, and now in full-colour, Obstetrics and Gynaecology at a Glance is an accessible introduction and revision text for medical students. Fully revised and updated to reflect changes to the content and assessment methods used by medical schools, this at a Glance provides a user-friendly overview of obstetrics and gynaecology to encapsulate all that the student needs to know. This new edition of Obstetrics and Gynaecology at a Glance: Now features self-assessment case studies to increase clinical relevance and reinforce learning Includes new chapters on medico-legal issues to reflect latest advice in this area, and pregnancy in primary care, providing an overview of patient care Has increased coverage of miscarriage and pregnancy termination to better prepare students for these frequent rotation topics Contains full-colour artwork throughout, making the subject even easier to understand It’s an invaluable resource for all medical students, junior doctors, nurses and midwives who need an introduction to obstetrics and gynaecology. Review of the previous edition "The text with accompanying visual aids is an excellent quick referral guide to nearly everything undergraduate students will meet during O+G. It has found the right level in terms of undergraduate content and has struck the right balance between full curricular coverage and avoiding unnecessary detail. I would not hesitate to recommend it to my students." Senior Lecturer, St George’s Hospital Medical School Titles of related interest Obstetrics and Gynaecology, Third Edition Impey and Child 9781405160957 Lecture Notes: Obstetrics and Gynaecology, Third Edition Hamilton-Fairley 9781405178013 Obstetrics & Gynaecology: Clinical Cases Uncovered Cruickshank 9781405186711

A highly illustrated textbook of diabetes and endocrinology for medical students and junior doctors. An accessible coverage of diabetes and endocrinology in the graphic ICT format, making full use of line diagrams, colour photographs, tables and boxes. Comprehensive coverage of all common conditions, as well as the treatable rarer diseases. Boxes emphasise important clinical practice points. Summaries of crucial clinical trials are provided. Role of more specialised investigations, such as dynamic endocrine tests and magnetic resonance imaging are discussed. Relevant physiology and anatomy is included to enable understanding of tests and management.

Diabetes mellitus is approaching epidemic proportions worldwide, and the effects and treatment of diabetes in pregnancy are not well enough understood by many doctors who see pregnant women in their practices. The goal of this book is to provide much-needed information to clinicians about pregestational and gestational diabetes in pregnancy and help them develop the tools and skills to improve the outcome of these pregnancies. This is the second edition of a highly regarded book on diabetes in pregnancy, strongly recommended in JAMA to anyone involved in the care of pregnant women with diabetes mellitus. The second edition will be organized similarly to the first edition, but all of the chapters have been updated with new information and references. The book emphasizes diagnosis and treatment, making it particularly valuable to clinicians. An evidence-based approach supplements the standard expert-opinion approach wherever clinical trials have provided sufficient evidence, and strong evidence is given for close nutritional management. Like the first edition, the book is organized into two major sections: I. The Scientific Rationale for Global Issues Affecting Diabetes in Pregnancy and II. The Scientific Rationale for the Management of Diabetes in Pregnancy.

This book comprehensively discusses both gestational diabetes and diabetes that pre-exists pregnancy (type 1 or type 2), highlighting conditions and complications that are expected to occur during and after pregnancy. The book focuses on clinical problems encountered in everyday practice, but also covers topics that contribute to a better understanding of the clinical issues (genetics, epigenetics, pathophysiology). Written by leading experts in various disciplines, the chapters draw on the authors’ experience to critically evaluate relevant data on diagnosing and treating the disease and provide guidance on the optimal approach in each specific situation as well as on how to decide between alternatives. A series of learning objectives, tables, figures, algorithms and illustrations increase the book’s readability and help readers improve their understanding of the material. This book serves as a practical and useful tool for general obstetricians, fetal-maternal specialists, endocrinologists, diabetologists, neonatologists, midwives and for anyone involved in the management of pregnant women with this condition.