Talk:Diabetes and pregnancy

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 30 August 2021 and 21 September 2021. Further details are available on the course page. Student editor(s): Sp3494. Peer reviewers: Cboutros.

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 August 2021 and 17 December 2021. Further details are available on the course page. Student editor(s): Queselaselaaa. Peer reviewers: Calgirl22.

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 24 September 2018 and 7 December 2018. Further details are available on the course page. Student editor(s): Natalie Bond. Peer reviewers: Varnellr16.

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139.222.93.200 (talk) 13:01, 27 September 2013 (UTC)[reply]

Hi! I was hoping to add a section on how to manage blood sugar levels during pregnancy via insulin pump, CGM, and MDI methods. I was hoping to use "Think Like a Pancreas" by Gary Scheiner, "Pumping Insulin" by John Walsh, and the Cochrane Library as sources. Does anyone have any thoughts about this topic and sources? Thanks, this will be me first edit in Wiki :) Natalie Bond (talk) 03:23, 10 October 2018 (UTC)[reply]

Initial Analysis of the article: Article is valuable but presents a lot of extraneous information as well as poorly organized supporting information.

Organizational changes:

Add: We would like to add new information on how people who are pregnant and with pre-existing diabetes should transition their medications from the nongravid to gravid period. This can be put under the “Diabetes pregnancy management”

Remove: We will remove contributions to Research and Treatment” section of the article because we feel that it is irrelevant to the topic. This is a biography, not medical information relevant to pregnancy and diabetes.

Elaborate/Augment:

We can elaborate on the “Physiology” section of the article. We can also add to and reorganize the “risks for the child” section by complications to the fetus and newborn during first trimester, second trimester, third trimester, and post-natal period.

Decrease coverage of: Breast-feeding seems to be irrelevant to this topic, but we have not decided what changes to make to that section yet. We are thinking of just including a couple of sentences indicating the necessity of breastfeeding for newborns whose mothers had pre-existing diabetes.

Posted by: sp3494, nectarine123 9/30/21 10:59 AM

Elaborate/Augment:

“planning in advance is emphasized if one wants to become pregnant” is a vague phrase that needs more specifics or should be deleted. Adding “planning for future pregnancy in advance with a physician” or something like this would make it more clear.

Typo:

“Blood glucose levels in pregnant woman” should be "women"

Remove:

“A Cochrane review published in 2016 was designed to find out the most effective blood sugar range to guide treatment for women who develop gestational diabetes mellitus in their pregnancy. The review concluded that quality scientific evidence is not yet available to determine the best blood sugar range for improving health for pregnant women with diabetes and their babies.’’ These two sentences in combination do not add information. Limit to, “quality scientific evidence...etc.” and then cite the Cochrane review.

Cboutros (talk) 22:42, 14 September 2021 (UTC)[reply]

I added some detail to the first trimester complications. I also added detail to neonatal complications. Deleted redundant information and changed the order of information under "Risks for child" and "Breastfeeding" to improve the flow.

Sp3494 (talk) 19:59, 10 September 2021 (UTC) I expanded on the physiology of Type 1 and Type 2 diabetes, and elaborated on how the physiological changes associated with pregnancy can result in increased risk for complications of poor glycemic control. Deleted poorly organized information on maternal physiologic changes during pregnancy.Nectarine123 (talk)[reply]

Deleted Contributions to Research and Treatment because it contained irrelevant information. Nectarine123 (talk) 18:31, 13 September 2021 (UTC)[reply]

Deleted "Importance of blood glucose level during pregnancy" section and added some content info to the top about prevention of fetal complications in pregnant people with pre-gestational diabetes Sp3494 (talk)

Good discussion about diabetes pregnancy management -would talking about certain diabetic medications be of interest? -maybe possible effects of diabetes medications on the infant, if applicable

For Breast feeding, it may be beneficial to change up some of the terminology to be more gender neutral.

Overall, very good work.

I feel that the edits made are very useful, I agree that the contributions to research weren’t necessary for the understanding of the topic and were a good choice for deletion. I also think it was a great idea to expand on the physiology. I agree that breastfeeding isn’t the most relevant and if included should be revised to be gender neutral.

Suggested clarification; on the last sentence of the physiology section its stated that the consequences of poor glycemic control are worse during pregnancy but its unclear if this referring to the complications in the unborn child or complications in the pregnant person. Might be good to clarify if poor glycemic control also has worse consequences for the pregnant person.