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Book and Media Reviews
September 27, 2006

Diabetes in Pregnancy

Author Affiliations

Book and Media Reviews Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA.

JAMA. 2006;296(12):1528-1533. doi:10.1001/jama.296.12.1530

It is by now well known that the prevalence of diabetes mellitus is approaching epidemic proportions in the United States. Pregnant women with preexisting diabetes mellitus populate high-risk antenatal units in increasing numbers. Although effective antidiabetic pharmacotherapies have allowed otherwise infertile women to ovulate and conceive, all is not well. Diabetes mellitus complicating pregnancy results in considerable maternal-fetal morbidity and mortality, with substantial burdens on families and the health care system. Considering that only 80% of women with gestational diabetes and 40% to 60% with preexisting diabetes achieve favorable glycemic control during pregnancy, a comprehensive book specifically addressing the broad range of management issues presented by the diabetic mother and her fetus is welcome.