Foreword vii Acknowledgments ix Contributors to the 7th Edition xi 1. Preparing for Pregnancy (Zork) 1 Highlights 2 Preexisting Diabetes 5 Prepregnancy Counseling 9 Prepregnancy Assessment 11 Prepregnancy Management 14 Previous Gestational Diabetes Mellitus 18 References 19 2. Lifestyle Management for Diabetes in Pregnancy (Hernandez) 25 Highlights 27 Weight Gain Recommendations 29 Controversy: Calorie Restriction for Patients with Obesity 30 Nutrition Management in Pregnancy 32 For Preexisting Diabetes 32 For Gestational Diabetes Mellitus 34 Individualized Meal Planning and Recordkeeping 35 Macronutrients 37 Energy 37 Carbohydrate 38 Dietary Fiber 40 Glycemic Index 42 Resistant Starch and High-Amylose Foods 42 Protein 42 Dietary Fat 42 Micronutrients 43 Sodium 43 Folate 44 Iron 44 Vitamin D and Calcium 44 Other Nutrients 45 Vitamin and Mineral Supplementation 45 Food Safety 45 Caffeine 45 Alcohol 46 Nonnutritive Sweeteners 46 Herbal Medicines and Supplements 46 Listeria 46 Mercury 47 Exercise as a Treatment Modality 47 Selected Readings 48 References 48 3. Glycemic Goals and Assessment During Pregnancy (Han) 53 Highlights 54 Normoglycemia during Pregnancy 55 Diagnosis of Diabetes 57 Self-Monitoring of Capillary Blood Glucose 59 Continuous Glucose Monitoring in Pregnancy 61 Ambulatory Glucose Profiles 62 Factors Affecting Glucose Levels 63 Other Measures of Metabolic Control 64 Ketonuria and Ketonemia 66 Selected Readings 67 References 67 4. Medications for Diabetes in Pregnancy (Zera) 73 Highlights 74 Metabolic Changes during Pregnancy 75 Insulin 77 Obstetric Considerations 81 Oral Antidiabetes Medications 83 References 85 5. Common Complications (Harper) 91 Highlights 92 Hyperemesis/Gastroparesis 93 Preterm Birth 97 Preeclampsia 98 Diabetic Ketoacidosis 98 Congenital Anomalies and Perinatal Deaths 99 References 100 6. Risk Assessment, Fetal Surveillance, and Delivery in Pregnancies Complicated by Diabetes (Hamel) 105 Highlights 106 Screening, Diagnostic Testing, and Fetal Surveillance 107 Genetic Screening 109 Ultrasound 111 Antenatal Testing 113 Timing and Mode of Delivery 116 Selected Reading 118 References 118 7. Postpartum Concerns for Individuals with Diabetes (Ludgin) 121 Highlights 122 Postpartum Care 123 Chest-feeding 125 Nutrition Recommendations 126 Selected Readings 129 References 129 8.

Contraception (Cleary) 133 Highlights 134 Hormonal Contraceptives: Background 137 History of Gestational Diabetes without Additional Medical Complications 137 Long-Acting Reversible Contraception (LARC): Intrauterine Devices and Implants 137 Non-LARC Hormonal Contraceptives 142 Permanent Sterilization 144 Timing of Contraceptive Counseling 145 Selected Readings 145 References 146 9. Neonatal Care (Sen, Tiwari) 149 Highlights 150 Overview 151 Newborn Outcomes 152 Nursery Care 161 Long-Term Follow-Up 162 Summary 164 References 164 Index 175.