PMID- 19208505 OWN - NLM STAT- MEDLINE DCOM- 20090512 LR - 20220410 IS - 1744-165X (Print) IS - 1744-165X (Linking) VI - 14 IP - 2 DP - 2009 Apr TI - Offspring of diabetic pregnancy: long-term outcomes. PG - 119-24 LID - 10.1016/j.siny.2009.01.002 [doi] AB - Diabetes in pregnancy has been shown to induce long-term effects in offspring. While considerable attention is focused on the increased incidence of type 2 diabetes mellitus (T2DM) in adult offspring from diabetic mothers, cardiovascular alterations, including hypertension, are also part of lifelong consequences of in-utero exposure to increased glucose concentrations. This review examines the epidemiologic and mechanistic issues involved in the developmental programming of long-term consequences in offspring of diabetic mothers, with a particular emphasis on the renal and vascular mechanisms of hypertension. The factors of increased incidence of T2DM and of obesity in adults born after exposure to diabetes during pregnancy are also discussed, as evidence is accumulating that a vicious circle involving lifelong consequences of diabetes in pregnancy in offspring contributes to the current worldwide epidemic of T2DM. FAU - Simeoni, Umberto AU - Simeoni U AD - INSERM UMR608, Universite de la Mediterranee, France; Faculte de Medecine, Universite de la Mediterranee, France; Division of Neonatology, Assistance Publique-Hopitaux de Marseille, France. umberto.simeoni@ap-hm.fr FAU - Barker, David J AU - Barker DJ LA - eng PT - Journal Article PT - Review DEP - 20090208 PL - Netherlands TA - Semin Fetal Neonatal Med JT - Seminars in fetal & neonatal medicine JID - 101240003 SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 2/etiology MH - Female MH - Humans MH - Hyperglycemia/*complications MH - Hypertension/etiology MH - Insulin Resistance MH - Obesity/etiology MH - Pregnancy MH - *Pregnancy in Diabetics MH - *Prenatal Exposure Delayed Effects MH - Young Adult RF - 64 EDAT- 2009/02/12 09:00 MHDA- 2009/05/13 09:00 CRDT- 2009/02/12 09:00 PHST- 2009/02/12 09:00 [entrez] PHST- 2009/02/12 09:00 [pubmed] PHST- 2009/05/13 09:00 [medline] AID - S1744-165X(09)00003-1 [pii] AID - 10.1016/j.siny.2009.01.002 [doi] PST - ppublish SO - Semin Fetal Neonatal Med. 2009 Apr;14(2):119-24. doi: 10.1016/j.siny.2009.01.002. Epub 2009 Feb 8.