Normalizing Metabolism in Diabetic Pregnancy: Is It Time to Target Lipids?

Normalizing metabolism in diabetic pregnancy: is it time to target lipids?

Outcomes in pregnancies complicated by preexisting diabetes (type 1 and type 2) and gestational diabetes mellitus have improved, but there is still excess morbidity compared with normal pregnancy. Management strategies appropriately focus on maternal glycemia, which demonstrably improves pregnancy outcomes for mother and infant. However, we may be reaching the boundaries of obtainable glycemic ...

Writing qualitative article: It is time to quality improvement

Précis: This debate article highlights some questions from critics of qualitative research. Planning for proper design, philosophical background, researcher as a research instrument in the study, trustworthiness and application of findings are main debates in this field. One of the issues that have been received little attention is report of qualitative inquiry. A qualified report can an...

I-4: Is It Time Now to Cancel Fresh EmbryoTransfer

The implantation of embryo depends on the quality of the embryo and the receptivity of the endometrium. While the factors affecting embryo quality were optimized, the implantation rates did not reach the desirable levels. This directs the blaming for endometrial receptivity which already has been affected by supra-physiological levels of hormone, namely estradiol, in controlled ovarian hypersti...

Diabetic pregnancy: is it time to enjoy the fruits of our labors?

Before insulin therapy, the diabetic pregnancy was a consummate disaster for mother and child. Maternal mortality approached 30%, and survival of the offspring was uncommon (1). Although in 1988 diabetic mothers and their offspring clearly benefit from better perinatal care, many of the improvements shown to decrease maternal and perinatal morbidity have yet to be incorporated into the routine ...

Tackling HIV in MENA: Talk Is Not Enough–It Is Time for Bold Actions: A Response to Recent Commentaries