5.4.0.0 Type 2 Di­a­betes

Type 2 di­a­betes is often as­so­ci­at­ed with obe­si­ty. Rec­om­mend­ed weight gain dur­ing preg­nan­cy for over­weight women is 15–25 lb and for obese women is 10–20 lb (72). Glycemic con­trol is often eas­i­er to achieve in women with type 2 di­a­betes than in those with type 1 di­a­betes but can re­quire much high­er doses of in­sulin, some­times ne­ces­si­tat­ing con­cen­trat­ed in­sulin for­mu­la­tions. As in type 1 di­a­betes, in­sulin re­quire­ments drop dra­mat­i­cal­ly after de­liv­ery. The risk for as­so­ci­at­ed hy­per­ten­sion and other co­mor­bidi­ties may be as high or high­er with type 2 di­a­betes as with type 1 di­a­betes, even if di­a­betes is bet­ter con­trolled and of short­er ap­par­ent du­ra­tion, with preg­nan­cy loss ap­pear­ing to be more preva­lent in the third trimester in women with type 2 di­a­betes com­pared with the first trimester in women with type 1 di­a­betes (73,74).