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Pregnancy Complications for Diabetics 

There has been conflicting information in past studies on the effects of pregnancy on retinopathy, a complication of diabetes. A new study finds pregnancy may make this condition worse. 

Two common complications of type 1 diabetes are retinopathy and nephropathy. Retinopathy is an eye disorder, and nephropathy is inflammation or breakdown of the kidney. While some studies have shown a worsening of retinopathy, others have not. Results of the first large prospective study to assess this problem are published in the recent issue of Diabetes. 

Researchers studied 180 women who had 270 pregnancies and 500 women who did not become pregnant. The women all have type 1 diabetes. They followed the women for almost seven years. Tests on their eyes were done every six months and urinary tests were done annually. 

Compared with non-pregnant women, results showed pregnant women were at an increased risk worsening retinopathy during pregnancy. There was no significant difference in the increase of nephropathy for pregnant women and non-pregnant women. However, the long-term risk of retinopathy and nephropathy does not appear to be increased by pregnancy. 

Researchers conclude women with type 1 diabetes should be followed closely by an experienced retina specialist during pregnancy.


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