{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:47:21Z","timestamp":1753868841038,"version":"3.41.2"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T00:00:00Z","timestamp":1480464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There are no reports of very long follow\u2010up studies of pregnant women with type 2 diabetes after delivery. Here we describe cases of Japanese women whom we treated for 20 to 50\u00a0years after deliveries to investigate the relationship between blood glucose control and diabetic complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In Japan, the prevalence of type 1 diabetes is very low, and we have very few long\u2010term follow\u2010up cases with type 1 diabetes. Therefore, we chose to describe subjects with type 2 diabetes only. We present data on a total of 80 deliveries, 68 cases, treated by one of us (Y.O.) for more than a 50\u2010year period. They are divided into 4 groups based on duration of treatment after delivery: more than 50\u00a0years (1 delivery, 1 patient), 40 to 49\u00a0years (13 deliveries, 11 patients), 30 to 39\u00a0years (19 deliveries, 16 patients), and 20 to 29\u00a0years (47 deliveries, 40 patients). Their present average ages in these 4 groups are 77, 72.4, 65.9, and 55.5\u00a0years, respectively. Their average HbA1c levels at last visit, in May 2014, are 8.2%, 7.6%.,7.2%, and 8.3%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Despite elevated HbA1c levels, they had relatively few complications: 40% (no retinopathy), 43.8% (simple retinopathy), and 12.5% (treated with photocoagulation); 67.5% (no albuminuria), 26.3% (albuminuria), and 6.3% (treated with renal transplantation or hemodialysis).<\/jats:p><jats:p>Therefore, even if glycemic control is not ideal, nonstop treatment of Japanese women for type 2 diabetes after deliveries is effective to prevent diabetic complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Long\u2010term attention to care of diabetes after pregnancy may be preventive of diabetic complications in other populations as well.<\/jats:p><\/jats:sec>","DOI":"10.1002\/dmrr.2860","type":"journal-article","created":{"date-parts":[[2016,9,26]],"date-time":"2016-09-26T07:08:39Z","timestamp":1474873719000},"source":"Crossref","is-referenced-by-count":2,"title":["The importance of nonstop treatment after delivery for pregnant women with type 2 diabetes"],"prefix":"10.1002","volume":"33","author":[{"given":"Yasue","family":"Omori","sequence":"first","affiliation":[{"name":"Diabetes Center Ebina General Hospital  Ebina Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Yanagisawa","sequence":"additional","affiliation":[{"name":"Diabetes Center Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asako","family":"Sato","sequence":"additional","affiliation":[{"name":"Diabetes Center Tokyo Women's Medical University  Tokyo Japan"},{"name":"Department of Clinical Laboratory Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuko","family":"Uchigata","sequence":"additional","affiliation":[{"name":"Diabetes Center Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/9781439802007.020"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2005.01682.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq275"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-008-0994-z"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13340-012-0069-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1375.009"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.K09E-273"},{"key":"e_1_2_6_9_1","unstructured":"Editorial committee of diabetes treatment guide. Guide for diabetes treatment 2012\u20132013 Tokyo Bunkoudou2012."}],"container-title":["Diabetes\/Metabolism Research and Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fdmrr.2860","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dmrr.2860","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T09:27:04Z","timestamp":1696584424000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dmrr.2860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,30]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1002\/dmrr.2860"],"URL":"https:\/\/doi.org\/10.1002\/dmrr.2860","archive":["Portico"],"relation":{},"ISSN":["1520-7552","1520-7560"],"issn-type":[{"type":"print","value":"1520-7552"},{"type":"electronic","value":"1520-7560"}],"subject":[],"published":{"date-parts":[[2016,11,30]]},"article-number":"e2860"}}