| Popis: |
There is a very strong need for an effective and reliable method of contraception in the diabetic woman. An unplanned pregnancy that occurs when her diabetes is not under good control can have disastrous consequences, ranging from abortion to a congenitally malformed fetus. The most important factor in the contraceptive decision for the diabetic patient, especially the IDDM patient, is that the choice be made not by the clinician alone or the patient alone, but through a carefully through-out process that involves both patient and physician.Diabetic women are in special need of effective, reliable contraception. A pregnancy that occurs when the diabetes is not under control is at risk of congenital fetal malformations. Since diabetic women require a method with a minimum risk of failure, their choices are limited largely to the IUD and oral contraceptives (OCs). In women with insulin-dependent diabetes mellitus, OC use does not appear to disrupt diabetes control and may require only a mild alteration of insulin requirements. Low-dose monophasic OCs that limit the amount of androgenic activity of the progestin may be the best choice for women with a history of gestational diabetes or insulin-dependent diabetes mellitus. |
