Gender differences impact the pathophysiology and clinical burden of diabetes in women. Exploring the complex interplay between gender and diabetes, Diabetes in Women provides a state-of-the-art update from conception to menopause and beyond. Written by experts in the field, Diabetes in Women covers sex differences in cardiometabolic risk, the impact of diabetes on women's health, diabetes and pregnancy, offspring of the diabetic mother and the disease management of women with diabetes. Chapters include up to date information on cardiometabolic risk in women throughout the lifecycle and the differences between sexes in energy balance and body composition. Prominent authors also explore the impact of poverty and globalization on the emerging epidemic of obesity in developing countries. Designed for primary care and internal medicine physicians, endocrinologists, obstetricians and gynecologists, and trainees and basic scientists in these areas, Diabetes in Women is an invaluable resource and important contribution to the field.

Zusammenfassung

This book is devoted to women with diabetes. The primary aim is to provide cutting edge knowledge pertaining to diabetes in women from conception to menopause and beyond.

The whole notion of the book arises from the understanding that there is a complex interplay between gender and diabetes. Gender differences may differentially affect energy metabolism, body composition and cardiovascular risk and therefore the pathophysiology and clinical burden of diabetes in women.

Events in the reproductive lifecycle of women cause both special treatment considerations for diabetes and pose unique risks from diabetes. For example, during pregnancy, an adverse intrauterine environment may program fetal metabolism towards the development of cardiometabolic disease and diabetes in adult life. On the other hand, maternal diabetes may influence fetal development and postnatal outcome.

The beneficial effects of endogenous sex steroids during reproductive age appear to be lost in women with diabetes, and the withdrawal of estrogens after the menopause may increase cardiovascular risk.

Finally, gender has certain psychological, social and cultural dimensions, which may affect a person's risk for and ability to treat diabetes. This book aims to explore the spectrum of issues specific to diabetes in women.

The book is designed for generalists, physicians with an interest in diabetes, endocrinologists, obstetricians and gynecologists, and those training in these areas of health care. It is hoped that the topics in the book will help improve the knowledge of diabetes in women.

Inhalt
Sex Differences in Energy Balance, Body Composition, and Body Fat Distribution.- Menopause and Diabetes Mellitus.- Cardiovascular Disease in Women with Diabetes.- Insulin Resistance, Diabetes, and Cardiovascular Risk in Women and the Paradigm of the Polycystic Ovary Syndrome.- Developmental Programming of Polycystic Ovary Syndrome: Role of Prenatal Androgen Excess.- An Anthropological View of the Impact of Poverty and Globalization on the Emerging Epidemic of Obesity.- Eating Disorders and Depression in Women with Diabetes.- Sexual Health in Women with Diabetes.- Contraception for Women with Diabetes.- The Effect of PCOS on Fertility and Pregnancy.- The Effect of Pregnancy on Energy Metabolism, Body Composition, and Endothelial Function.- The Epidemiology of Diabetes in Women and the Looming Epidemic of GDM in the Third World.- Gestational Diabetes Mellitus: Diagnosis, Maternal and Fetal Outcomes, and Management.- Nutrition and Pregnancy.- Preconception Care for Women with Diabetes Mellitus.- Obstetric Care of the Woman with Diabetes.- Medical Management of Preexisting Diabetes in Pregnancy.- Use of Ultrasound in the Metabolic Management of Gestational Diabetes and Preexisting Diabetes Mellitus in Pregnancy.- Preeclampsia.- The Infant of the Diabetic Mother: Metabolic Imprinting.- The Genetic Basis of Diabetes.- Breastfeeding and Diabetes.- Management of Disease in Women with Diabetes.