Insulin resistance in pregnant type 1 diabetic female. Case report
Sokup, A.; Swiatkowski, M.; Tyloch, Młgorzata.; Góralczyk, B.; Szymański, Wław.
Ginekologia Polska 77(8): 624-628
2006
ISSN/ISBN: 0017-0011 PMID: 17076194 Document Number: 599956
Insulin resistance may coexist with diabetes type 1 and make treatment of diabetes difficult. Case of 24-year-old type 1 diabetic female with insulin resistance features prior to pregnancy is reported. Exacerbating of insulin resistance during pregnancy was manifested by difficulties to overcome excessive weight gain and necessity to initiate treatment with high doses of insulin. The treatment was based on diet with progressive caloric restriction to 800 kcal/day in 35 week of pregnancy. That diet was continued till the delivery in 37 week. The fast acting analog insulin (Humalog) and long acting insulin (Humulin U) were used in treatment of diabetes. Treatment with low calorie diet did not cause negative effects on diabetic female metabolism and on the neonate state.