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- W2019966975 abstract "479 ISSN 1758-1907 10.2217/DMT.12.53 © 2012 Future Medicine Ltd Diabetes Manage. (2012) 2(6), 479–482 Fertility and pregnancy prevention are topics that are seldom considered in the routine care of adolescents with diabetes. The presence of unsafe sexual practices [1] and other risky behaviors in this young population [2] is striking because unpro tected sex may pose higher risks to ado lescents with Type 1 diabetes (T1D) than to the general population. The challenges of living with a chronic condition and the fear of hypoglycemia, unexpected death and severe chronic complications may be associated with the fear of dying without having experienced sex or maternity and may have a role in early sexual behavior during adolescence [3]. One of the explanations for the lack of pregnancy prevention in adolescents’ with T1D is their misconception that they are infertile due to the presence of menstrual irregularities and poor metabolic control. Menstrual irregularities, particularly oligo menorrhea, are very prevalent in young adolescents with T1D [4]. The prevalence of this abnormality increases with deteriorat ing metabolic control. It has recently been shown that the duration of the menstrual cycle is prolonged by 5.1 days for each 1% increase in glycated hemoglobin [5]. However, it is important to consider that the presence of menstrual disturbances is not necessarily a reflection of anovula tion, as previously thought. In the 1950s, Bergqvist showed that adult women with T1D displayed signs of ovulation, such as variations in basal temperature, despite the presence of menstrual disturbances [6]. Recently, a prospective study evalu ated ovulation in adolescents with and without T1D in 168 and 281 menstrual cycles, respectively [7]. This study showed that adolescents with T1D had similar rates of ovulation compared with healthy nondiabetic adolescents (34.5 and 36.3%, respectively), although both groups had a high prevalence of menstrual irregularities," @default.
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- W2019966975 date "2012-11-01" @default.
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- W2019966975 title "Addressing fertility and reproductive issues in female adolescents with diabetes" @default.
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- W2019966975 doi "https://doi.org/10.2217/dmt.12.53" @default.
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