Proximal Preaxial Hallucal Polysyndactyly with Tibial Hemimelia: Diabetic Embryopathy

A 3-kg boy born full term with congenital malformations was born to a 23-year-old mother with type 2 diabetes for the past 3 years, class B, according to the White classification.1 She was managed initially with a diabetic diet and oral hypoglycemic agents. Her first antenatal check-up was performed at 11 weeks of gestation; thereafter, her blood glucose levels were monitored every 10-15 days. Due to uncontrolled diabetes (glycated hemoglobin A1c was 8.2% in second trimester), she was started on regular insulin along with oral hypoglycemic agents.

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