Talk to your doctor before you get pregnant. He or she can talk to you about steps you can take to keep your baby healthy. This may include a diabetes education program to help you better understand your diabetes and how to control it during pregnancy.
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Imaging studies substantiate that the pancreas declines in size as type 2 diabetes progresses. More than 20 years ago, we used ultrasound to show some decrease in early type 2 disease and a significant decrease in later-stage disease with declining β-cell function and mass (). Using computerized tomography, Goda et al. demonstrated that pancreatic volume and pancreatic volume index were greatest in the healthy group and lowest in type 1 diabetes, although subjects with type 2 disease did not differ significantly compared with control subjects ().