Is Fertility Treatment Prior to Establishing Glycemic Control Effective for Type 2 Diabetic Patients? A Case Study Comparing Outcomes Before and After Glycemic Control Is Established

Is Fertility Treatment Prior to Establishing Glycemic Control Effective for Type 2 Diabetic Patients? A Case Study Comparing Outcomes Before and After Glycemic Control Is Established

Some patients with type 2 diabetes desire egg retrieval for future embryo transfer, and would prefer the procedure to be performed prior to exerting glycemic control, which is technically possible. We experienced a case of a 38-year-old woman suffering from type 2 diabetes mellitus, hypertension, an...

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Bibliographic Details
Published in:Tokyo Women's Medical University Journal Vol. 6; pp. 126 - 129
Main Authors: Hashimoto, Tomomi, Nakabayashi, Akira, Yanagisawa, Keiko, Toma, Chihiro, Horibe, Yu, Tabata, Tsutomu
Format: Journal Article
Language:English
Published: Society of Tokyo Women's Medical University 20-12-2022
Subjects:
hyperglycemia
in vitro fertilization (IVF)
insulin therapy
oocyte retrieval
type 2 diabetes mellitus
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Summary:Some patients with type 2 diabetes desire egg retrieval for future embryo transfer, and would prefer the procedure to be performed prior to exerting glycemic control, which is technically possible. We experienced a case of a 38-year-old woman suffering from type 2 diabetes mellitus, hypertension, and severe obesity (body mass index 43) desiring early oocyte retrieval due to suspected endometrial atypia. Only 3 transferable embryos were obtained through two oocyte retrieval procedures before glycemic control was applied, whilst 5 transferable embryos were obtained in one egg retrieval cycle post inpatient treatment for insulin adjustment. The transfer of an embryo post-treatment resulted in delivery of a healthy full term child.
ISSN:2432-6186
DOI:10.24488/twmuj.2021012