Glycemic Control May Not Be Enough
The women filled out three questionnaires during their pregnancy and glycemic control was monitored. Complications were compared with national data.
Most (84 percent) of the pregnancies were planned, resulting in overall good glycemic control (HbA1c) early in pregnancy and a high rate of folic acid use.
Despite this, complications such as pre-eclampsia, high birth weight and birth defects were still considerably higher than in the general population. Many infants also had dangerously low blood sugar levels (hypoglycemia).
Although most women planned their pregnancy and prepared well, outcome was not comparable to that of the general population. Near optimal glycemic control is apparently not good enough, researchers conclude.