ABSTRACT
John L. Kitzmiller, MD Regional Diabetes and Pregnancy Program, Good Samaritan Hospital, San Jose, California, USA
The potential problems of diabetic nephropathy (DN) and pregnancy require the anticipation of preconception care. Clinicians who care for adolescent and adult diabetic women need to recognize that they may become pregnant, that most of the risks to mother and offspring are related to poor control of hyperglycemia and hypertension, and that the risks may be reduced through intensified multifactorial interventions before conception and throughout pregnancy.
