Clinical Case Database / Category: Clinical Care

Diabetes in pregnancy

Publication details

Sudeep Singh Rai, MBBS, BMedSci (Hons), S O Anifowoshe, MBBS, MRCOG, Fadi Alfhaily, MBChB, MSc, DFFP, MRCOG, MA Khaled, FRCOG, PhD
Foundation Years Journal, volume 5, issue 5, p.10 (123Doc Education, London, June 2011)


In England and Wales, around 2%–5% of women will be affected by diabetes during prgnancy (1). Diabetes affects carbohydrate metabolism which necessitates immediate lifestyle modifications. In pregnancy, diabetes can play a huge impact on the wellbeing of both the foetus and the mother. The National Institute of Clinical Excellence (NICE) estimated that approximately 87.5% of pregnancies complicated by diabetes are as a result of gestational diabetes, with 7.5% attributed to type 1 diabetes and 5% to type 2 diabetes (1).

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Sudeep Singh Rai, MBBS, BMedSci (Hons)

Senior House Officer in Obstetrics & Gynaecology
Colchester Hospital University NHS
Foundation Trust

S O Anifowoshe, MBBS, MRCOG

Staff Grade/Associate Specialist in Obstetrics and Gynaecology
Colchester Hospital University NHS
Foundation Trust

Fadi Alfhaily, MBChB, MSc, DFFP, MRCOG

Consultant Obstetrician and Gynaecologists
Colchester Hospital University NHS
Foundation Trust

MA Khaled, FRCOG, PhD

Consultant Obstetrician and Gynaecologist, Director of Education
Colchester Hospital University NHS
Foundation Trust


1. Diabetes in pregnancy: NICE guidelines CG63 (reissued July 2008) English and Diabetes in pregnancy: Management of diabetes and its complications from pre-conception to the postnatal period, quick reference guide (reissued July 2008) http://guidance. pdf/English
2. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia: Report of a WHO/IDF consultation Available from:
20and diagnosis of diabetes_new.pdf
3. Baker P.N. Obstetrics by Ten Teachers, 18th edn. Hodder Arnold; 2006, 186–89.
4. mpey L. Obstetrics & Gynaecology, 2nd edn. Blackwell Science; 1999, 142–45.
5. Symonds M.E., Symonds I.M. Essential Obstetrics & Gynaecology, 4th edn. Churchill Livingstone; 2004, 113–114.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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