Pregnancy and Diabetes in Turin: Lights and Shadows from Real Life Data.
Endocr Metab Immune Disord Drug Targets
; 2024 Jul 26.
Article
en En
| MEDLINE
| ID: mdl-39069801
ABSTRACT
BACKGROUND:
From 2021, PSDTA for women with pregnancy complicated by diabetes will be active in the ASL city of Turin; given the city's increasing multiculturalism, we decided to evaluate from this point of view the patients who entered this pathway.METHODS:
Data on women from 1/10/2022 to 30/09/2023 were collected from the computerized medical record.RESULTS:
Total patients 304, Type of diabetes T1D 3%; MODY < 1%; T2D 4% Diabetes manifested in pregnancy (DMIP) 2%, GDM 90%, Foreigners prevalence GDM 67%, T2D%, T1D Foreign 11%, Planned vs. neglected pregnancies GDM 47% vs 18%, T2D 31% vs 32%, DMIP 28% vs 50%, T1D 66% vs 11%, Therapy GDM insulin 31% (multi-injective <30%), metformin 5%, T2D insulin 100% (multi-injective 68%, metformin in 20%); continuous glycemic sensor in 48%, DMIP insulin 50% (multi-injective 50%), T1D multi-injective therapy 33%; pump and glycemic sensor 33%; integrated sensor-micro-infuser system 33%.CONCLUSION:
In the aspect of ISTAT data indicating that for northern Italy, a foreign origin for 26% of mothers, our population is "unbalanced" between GDM, T2D, and DMIP on one side and T1D on the other. The higher percentage of foreigners in the GDM group could be attributable to the higher share of Italian women opting for private practice, conversely, the "missing" share of foreign women with T1D is more difficult to interpret. Unplanned or even neglected pregnancies are significant in women with GDM and DMIP (who are mostly foreign). If these data are confirmed in other Italian realities, corrective strategies need to be planned.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Endocr Metab Immune Disord Drug Targets
Asunto de la revista:
ALERGIA E IMUNOLOGIA
/
ENDOCRINOLOGIA
/
METABOLISMO
/
TERAPIA POR MEDICAMENTOS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia
Pais de publicación:
Emiratos Árabes Unidos