Researchers from the Center for Pregnant Women with Diabetes in Denmark recently compared the prevalence of diabetic neuropathy and microalbuminuria in pregnant women with type 1 and type 2 diabetes. A difference corresponding to the specific type of diabetes could mold treatment protocol.
Two groups of pregnant women were evaluated for the study. The type 1 diabetes group included 445 women. The type 2 diabetes group included 220. All births, and medical data collection, took place between 2007 and 2012.
Of the 665, 41 were found to have either diabetic neuropathy or microalbuminuria. Any patient, no matter the type of diabetes, with blood pressure in excess of 135/85 or albumin/creatine more than 300 mg/g was treated with antihypertensive medication.
Results: Women with type 1 diabetes are treated with antihypertensives more often than women with type 2 diabetes (0%/62% baseline and 33%/96% late pregnancy). Other than the use of antihypertensives, pregnancy outcome, gestational age at the time of delivery and other measured factors were comparable between the two groups.
Source: Damm JA, Asbjörnsdóttir B, Callesen NF, Mathiesen JM, Ringholm L, Pedersen BW, Mathiesen ER. Diabetic Nephropathy and Microalbuminuria in Pregnant Women With Type 1 and Type 2 Diabetes. Diabetes Care. 2013 Sep 5.
