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Progression of diabetic retinopathy during pregnancy in a woman with ABCC8-MODY - PubMed

7 days ago
  • #pregnancy
  • #diabetes
  • #retinopathy
  • A 31-year-old woman with ABCC8-MODY experienced rapid progression of diabetic retinopathy during pregnancy.
  • She was diagnosed with diabetes at age 11 and managed with oral agents before switching to insulin therapy during pregnancy.
  • At 22 weeks gestation, her retinopathy progressed to bilateral active proliferative diabetic retinopathy, requiring multiple panretinal photocoagulation (PRP) sessions.
  • She delivered a healthy baby at 38 weeks via elective caesarean section without complications.
  • Postnatally, her retinopathy persisted, requiring additional PRP, and she was later switched back to oral agents after breastfeeding.
  • This is the first reported case of rapid retinopathy progression during pregnancy in ABCC8-MODY, highlighting risks of end-organ disease in rare diabetes forms.