Second trimester

1. After the first two prenatal visits, which are scheduled one week apart, women are seen every two to four weeks through the second trimester, or more frequently if glycemic control is suboptimal.

2. Maternal analyte screening. A triple or quadruple maternal serum screen should be offered to help detect neural tube defects and Down syndrome (ie, triple screen = alpha-fetoprotein + unconjugated estriol + human chorionic gonadotropin; inhibin A is added for a quadruple screen).

3. Ultrasound examination at eighteen weeks of gestation is routine in pregestational diabetes. The ultrasound examination should include a fetal survey with a four-chamber view of the heart and visualization of the outflow tracts.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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