Diabetes mellitus type 1

Diabetes mellitus type 1 is an autoimmune disorder in glucose metabolism when pancreatic cells do not
produce insulin. Persons with this type of diabetes have insulin substitution until the rest of their lives.

During pregnancy, patients with diabetes mellitus type 1 require a correction in therapy. There are
hormones that originate from placenta, fetus and maternal therapy to prevent contractions, which
require dose correction and proper monitoring.
More intensive observation is necessary under the multidisciplinary team consisting of endocrinologist,
sometimes nephrologist, ophthalmologist, and neurologist.
Maternal body with pre-existing kidney or eye complications must be properly balanced before the
pregnancy. During pregnancy, mother and fetus are monitored and further progression of complications
is not allowed.
Those women without complications during pregnancy, under proper guidance of a professional with
sub-specialization in perinatology, and with maternal discipline and awareness, should not have
consequences, while quality of reproduction and motherhood are obtained.