Recommendations and management of hyperglycaemia in pregnancy during COVID-19 pandemic in Italy

Elisabetta Torlone, Maria Angela Sculli, Matteo Bonomo, Antonino Di Benedetto, Graziano Di Cianni, Camilla Festa, Gloria Formoso, Annunziata Lapolla, Domenico Mannino, Angela Napoli, Marina Scavini, Elena Succurro, Ester Vitacolonna, Laura Sciacca

Research output: Contribution to journalArticlepeer-review

Abstract

Many specialists use the remote management of people with chronic disease as diabetes, but structured management protocols have not been developed yet. The COVID-19 pandemic has given a big boost to the use of telemedicine, as it allows to maintain the physical distance, essential to the containment of contagion having regular health contact. Encouraging results related to the use of telemedicine in women with hyperglycaemia in pregnancy, have been recently published. It is well known that hyperglycaemia alters the immune response to infections, that inflammation, in turn, worsens glycaemic control and that any form of hyperglycaemia in pregnancy (HIP) has effects not only on the mother but also on development of the foetus. Therefore, the Italian Diabetes and Pregnancy Study Group, together with a group of experts, developed these recommendations in order to guide physicians in the management of HIP, providing specific diagnostic, therapeutic and assistance pathways (PDTAs) for the COVID-19 emergency. Three detailed PDTAs were developed, for type 1, type 2 and gestational diabetes.

Original languageEnglish
Article number108345
JournalDiabetes Research and Clinical Practice
Volume166
DOIs
Publication statusPublished - Aug 2020

Keywords

  • COVID-19
  • GDM
  • Telemedicine
  • Type 1 diabetes
  • Type 2 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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