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Contraceptive Selection in Diabetes Mellitus

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Contraceptive Selection in Diabetes Mellitus

  • See Also
  1. Contraception
  2. Diabetes Mellitus
  3. Type I Diabetes Mellitus
  4. Type II Diabetes Mellitus
  5. Insulin Resistance Syndrome
  6. Glucose Metabolism
  7. Diabetes Mellitus Education
  8. Diabetes Mellitus Complications
  9. Diabetic Ketoacidosis
  10. Hyperosmolar Hyperglycemic State
  11. Diabetes Mellitus Control in Hospital
  12. Diabetes Mellitus Glucose Management
  13. Hypertension in Diabetes Mellitus
  14. Hyperlipidemia in Diabetes Mellitus
  15. Diabetic Retinopathy
  16. Diabetic Nephropathy
  17. Diabetic Neuropathy
  • Indications
  • Highly effective Contraception where pregnancy risk is too high
  1. Poorly controlled diabetes (increased risk of major Congenital Anomaly)
  2. Severe macrovascular and microvascular complications
  • Management
  1. Oral Contraceptives with low-dose Estrogen and less androgenic Progestin
    1. Avoid in vascular disease or microvascular disease, or in Diabetes Mellitus >20 years
  2. Intrauterine Device (Copper-T IUD or Levonorgestrel IUD)
  3. Progestin-Only Pill (lower efficacy)
  4. Avoid Depo Provera
  • References
  1. Cagnacci (2009) Contraception 80(1):34-9 [PubMed]
  2. Rogovskaya (2005) Obstet Gynecol 105(4):811-5 [PubMed]
  3. Xiang (2006) Diabetes Care 29(3):613-7 [PubMed]