Carbohydrate Metabolism in Pregnancy and the Newborn · IV

Traditions are dangerous; doubly so in science. Traditions are unchanging; science is about change. This was the 4th International Colloquium on Carbohydrate Metabolism in Pregnancy and the Newborn to be held in Aberdeen, and by now the form is set. How much its content has changed is a matter of nice judgement and not under the control of the organizers. It is not within their power to bring news of revolution, if there has been no revolution. Certainly many of the speakers had kent faces from previous Aberdeen meetings, but so they would be at any meeting on diabetes anywhere in the world. The written proceedings of scientific conferences have purposes other than to record changes: sometimes they need to state a consensus. The 3rd Colloquium came to an agreement about the importance of prepregnancy recognition and control of abnormalities of carbohydrate metabolism. The 4th set out to examine what results it had achieved. Much of this book is taken up with follow-up studies of the applications of similar regimes in different parts of the world. Since the first Aberdeen meeting in 1973, progress in the manage ment of diabetic pregnancy has been slow and steady, but the change in the city and the society where the meetings took place has been fast.

Klappentext

This book assembles present knowledge of the different aspects of human reproduction complicated by diabetes. The contributions are based on the Fourth Quinquennial Aberdeen Colloquium held in 1988 and update the results of the three previous meetings. Many new topics are covered, such as maternal nutrition, obesity, infertility, abortion, retinopathy, and so forth. Care has been taken to include clinical practice guidelines and protocols for the management of diabetic pregnancy and the infant of the diabetic mother. The book is, therefore, designed as much to suit the practicing clinician as the specialist or research worker wishing to keep abreast of contemporary knowledge that has been collected, collated and distilled by internationally recognized experts.

Zusammenfassung
4th International Colloquium on Carbohydrate Metabolism in Pegnancy and the Newborn 1988

Inhalt
1 The Development of Diabetes and its Relation to Pregnancy: The Long-Term and Short-Term Historical Viewpoint.- 2 Polyendocrinopathy.- 3 Obesity and Fat Distribution.- 4 Nutrition in Pregnancy.- 5 The Metabolic Basis for Birth Defects in Pregnancies Complicated by Diabetes Mellitus.- 6 Diabetes in Pregnancy: Genetic and Temporal Relationships of Maldevelopment in the Offspring of Diabetic Rats.- 7 Diabetes Mellitus and Infertility.- 8 Epidemiology of Spontaneous Abortion in Insulin-Dependent Diabetic Women.- 9 Ultrasound Studies on Fetal Growth.- 10 Magnetic Resonance Imaging of the Feto-placental Unit.- 11 The Placenta in Diabetes Mellitus.- 12 Amniotic Fluid Levels of Insulin and C-Peptide in Pregnancies Complicated by Diabetes Mellitus.- 13 Prepregnancy Preparation.- 14 Management of the Insulin-Dependent Diabetic Woman: Problems with Pregnancy.- 15 Intensified Insulin Treatment in Diabetic Pregnancy.- 16 Nephropathy in Pregnancy.- 17 Pregnancy and Diabetic Retinopathy.- 18 Screening and Management of Gestational Diabetes Mellitus.- 19 A Prospective Multicentre Study to Determine the Influence of Pregnancy upon the 75-g Oral Glucose Tolerance Test (OGTT).- 20 Targets in Oral Glucose Tolerance Testing.- 21 The Spectrum of Glucose Tolerance During Pregnancy.- 22 Further Observations in Lean and Obese Women with Gestational Diabetes During a 400-Kilocalorie Meal Tolerance Test.- 23 Standardized Test Meal in Human Pregnancy.- 24 Breakfast Tolerance Test in Pregnancy.- 25 Diabetes Diagnosed During Pregnancy: Follow-up Studies.- 26 The Boston Gestational Diabetes Studies: Review and Perspectives.- 27 The Obstetrician's Role in the Management of Diabetic Pregnancy: The Aberdeen Approach.- 28 Management of Diabetes Mellitus in Pregnancy: Survey of Maternal-Fetal MedicineSubspecialists in the United States.- 29 Oral Contraceptives in Diabetic Women.- 30 The Infant of the Diabetic Mother: Recent Experience.- 31 The Future for Infants of Diabetic Mothers.- 32 Status at 45 Years in 90 Children of Insulin-Dependent Diabetic Mothers.- 33 Diabetes and Pregnancy: Consensus and Controversy.