University of Science and Technology of China
The research team, led by Prof. WENG Jianping of the University of Science and Technology in China (USTC) of the Chinese Academy of Sciences, has a comprehensive plan for the management of prejudice to pregnancy, namely the CARNATION study, for women with type -1 diabetes (T1D) implemented. to reduce the risk of unwanted pregnancy outcomes and improve pregnancy care since 2015. The study was published in Diabetes Care.
The management plan, approved by the National Commission for Health and Family Planning of the People’s Republic of China, consists of the Checklist for Relevant Healthcare Providers (HCPs), which covers 20 care services in different phases from preconceived care to postpartum care. These points provide information on multidisciplinary collaboration, as well as advice on diet, the management of diabetes and its complications, and other medical issues.
T1D is common in children and adolescents. However, pregnancy can accelerate the T1D complication, and T1D is again considered to be a major contributor to high-risk pregnancy.
In order to find the crux of pregnancy management with pregestational T1D and how to effectively channel information from pregnant women with T1D through multidisciplinary areas, questions need to be answered.
The CARNATION study gave priority to the prospective cohort study. It provided counseling services and screening methods for eugenic bias in T1D, and treated blood glucose from pregnancy to postpartum and treatment of newborns.
In addition, this study has shown that serious adverse pregnancy outcomes and several other undesirable outcomes can be significantly reduced in pregnant women with T1D.
Pregnant women with T1D are four to ten times more likely to experience undesirable pregnancy outcomes with fetal macrosomia, congenital malformations, delayed intrauterine growth, premature delivery, and neonatal mortality. This study can help change the situation.
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