Is Fertility Treatment Prior to Establishing Glycemic Control Effective for Type 2 Diabetic Patients? A Case Study Comparing Outcomes Before and After Glycemic Control Is Established

Abstract

Some patients with type 2 diabetes desire egg retrieval for future embryo transfer, and would prefer the procedure to be performed prior to exerting glycemic control, which is technically possible. We experienced a case of a 38-year-old woman suffering from type 2 diabetes mellitus, hypertension, and severe obesity (body mass index 43) desiring early oocyte retrieval due to suspected endometrial atypia. Only 3 transferable embryos were obtained through two oocyte retrieval procedures before glycemic control was applied, whilst 5 transferable embryos were obtained in one egg retrieval cycle post inpatient treatment for insulin adjustment. The transfer of an embryo post-treatment resulted in delivery of a healthy full term child.