Diabetes mellitus and pregnancy

The monograph “Diabetes Mellitus and Pregnancy” provides a comprehensive, up-to-date, and multidisciplinary overview of diabetes in pregnancy, integrating the latest scientific evidence and clinical recommendations from the fields of endocrinology, gynecology, and medical nutrition therapy. The book is organized into three complementary sections, each addressing diabetes in pregnancy from a distinct yet closely interconnected professional perspective.

The first section, written from the endocrinologist’s perspective, covers the physiology of glucose metabolism during pregnancy, the pathophysiology of gestational and pregestational diabetes, current diagnostic criteria, screening strategies, pharmacological treatment, the application of modern glucose monitoring technologies, and the management of pregnancy, labor, and the postpartum period in women with diabetes. The second section presents the gynecological and obstetric approach to preconception counseling, prenatal care, pregnancy management, childbirth, and neonatal care, with particular emphasis on the prevention of maternal and fetal complications. The third section focuses on medical nutrition therapy and highlights the importance of appropriate nutrition before conception, throughout pregnancy, and after delivery. Special attention is given to energy and nutritional requirements during pregnancy, meal planning, food selection, the role of macro- and micronutrients, physical activity, and contemporary principles of nutritional counseling for women with gestational and pregestational diabetes.

The monograph emphasizes the importance of a multidisciplinary approach involving endocrinologists, gynecologists, and nutrition specialists to ensure optimal preconception care, early detection and treatment of disorders of glucose metabolism, reduction of pregnancy-related complications, and improved maternal and neonatal outcomes. It is intended for endocrinologists, gynecologists, internists, family physicians, medical residents, and other healthcare professionals involved in the care of pregnant women with diabetes