Diabetes y embarazo pdf

Insulinoterapia en diabetes gestacional. La forma de iniciar la insulina en DG es variable. Las dosis y esquemas difieren notablemente. Cualquiera sea el esquema y dosis inicial, este debe ser modificado de acuerdo con los controles. Dosis sugeridas aplicables en forma ambulatoria y hospitalaria, para inicio del tratamiento, deben modificarse de acuerdo con la respuesta.

Insulinoterapia en diabetes pre gestacional. Investigaciones posteriores demostraron que la glibenclamida cruza la placenta. La tasa de fracaso en estos estudios fue Seguimiento de la DPG. El seguimiento debe seguir hasta 6 meses posparto Existen variados protocolos, todos con buenos resultados. Tema central: Diabetes.

DOI: Descargar PDF. Medicina Interna. Santiago, Chile. Under a Creative Commons license. TABLA 1. TABLA 2. TABLA 3. La DM1 intensifica la insulinoterapia y la DM2 la inicia. DG Cambios de estilo de vida; monitoreo de glucosa capilar e insulina si no se alcanzan metas.

Palabras clave:. Controversy persists on DG diagnosis. Treatment Glycemic goals are stricter in pregnancy. Glucose control attained by intensification of insulin therapy in type1 or insulinization in type 2 results in fetopathy prevention.

GD treatment Beneficial for mother and child. Teamwork, education and prevention of diabetes in GD are key. Texto completo. TABLA 4. Huidobro, A. Fulford, E. Rev Med Chile, 51 , pp. Screening and diagnosing gestational diabetes mellitus. Evidence report. TechnologyAssementN12 13 EO Gobierno de Chile.

Encuesta Nacional de salud Internet Disponible en. Characteristics of diabetic pregnant women and newborns from a public hospital. Abstract Book, P, page Metzger, S. Gabbe, B. Persson, T. Buchanan, P. Catalano, P. Damm, et al. Diabetes Care, 33 , pp.

Consenso Latinoamericano de Diabetes y, Embarazo. Rev Asoc Latinoameric, Diabet. Published , 25 februarynice. Definition of diabetes mellitus and intermediate hyperglycemia. Diabetes mellitus, pp. Hernandez, J. Friedman, R. Van Pelt, L. Patterns of glycemia in normal pregnancy: should the current therapeutic targets be challenged?. Diabetes Care, 34 , pp. Hashimoto, M. Indicators of glycemic control in patients with gestational diabetes and pregnant woman with diabetes mellitus.

World J Diabetes, 6 , pp. Castillo Atalah, A. Med Chile, , pp. Mardones, P. Weigth gain chart for pregnant women in Chile. Matern Child Nutr, 1 , pp. Anderson, M. Barbeau, P. Reccommendations for nutrition best practice in the management of gestational diabetes mellitus. Can J Diet Pract Res, 67 , pp. Barakat, M. Pelaez, C. Lopez, J.

Exercise during pregnancy and gestatinal diabetes-related outcomes adverse effects: a randomized trial. Br J Med, 47 , pp. Weisz, A. Shrim, C. Homoko, E. Schiff, G. Epstein, E. One hour versus two hours postprandial glucose measurement in gestational diabetes: a prospective study.

J Perinatol, 25 , pp. Curr Diab Rep, 15 , pp. Herrera, B. Rosenn, J. Forutan, B. Bimson, Z. Maternal hyperglycemia may have profound effects on the foetus, which depend on the period of pregnancy in which it is present. Preconception care in women with pregestational diabetes is the best method of preventing maternal and neonatal complications. Diabetes gestational and pregestational should not be an obstacle for breastfeeding, which may, in fact, provide additional benefits to the child. Key words:.

Curr Opin Obstet Gynecol, 15 , pp. Cousins, L. Rigg, D. Hollingsworth, G. Brink, J. Aurand, S. The hour excursion and diurnal rhythm of glucose insulin and C-peptide in normal pregnancy. Am J Obstet Gynecol, , pp. Diabetes y embarazo, pp. Catalano, D. Tyzbir, N. Roman, S. Amini, E. Longitudinal changes in insulin release and insulin resistance in non-obese pregnant women. Di Cianni, R. Miccoli, L.

Volpe, C. Lencionci, S. Del Prato. Intermediate metabolism in normal pregnancy and in gestational diabetes. Diabetes Metab Res Rev, 19 , pp. Catalano, T. Metabolic changes during normal and diabetic pregnancies. Diabetes in women. Adolescence, pregnancy and menopause, pp. Mimouini, R. Pregnancy outcome in insulin-dependent diabetes: temporal relationships with metabolic control during specific pregnancy periods.

Am J Perinatol, 5 , pp. Kitzmiller, T. Buchanan, S. Kjos, C. Combs, R. Preconception care of diabetes, congenital malformations, and spontaneous abortions Technical Review. Diabetes Care, 19 , pp. Bernstein, M. Goran, S. Amini, P. Differential growth of fetal tissues during the second half of pregnancy. Hawkins Carranza, J. Hawkins Solis. Summary and recommendations, 40 , pp. Ben-Haroush, Y. Yogev, M. Epidemiology of gestational diabetes mellitus and its association with type 2 diabetes.

Diabetic Med, 21 , pp. Mauricio, A. De Leiva. Autoimmune gestational diabetes mellitus: a distinct clinical entity. Diabetes Metab Res Rev, 17 , pp. Ellard, F. Beards, Li. Allen, M. Shepherd, E. Ballantyne, R. Harvey, et al. A high prevalence of glucokinase mutations in gestational diabetic subjects selected by clinical criteria. Diabetologia, 43 , pp. FMC, 8 , pp. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance.

Diabetes, 18 , pp. Carpenter, D. Criteria for screening tests for gestational diabetes. Metzger, D. Coustan, The Organizing Committee. Summary and Recommendations of the Fourth International Workshop-Conference on gestational diabetes mellitus.

Diabetes Care, 21 , pp. BB Medline. Alberti, P. Zimmet, for the WHO Consultation. Definition, diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic Med, 15 , pp. CO;2-S Medline. Bybee, N. Freinkel, R. Phelps, R. Radvany, N. Gestational diabetes mellitus: correlations between the phenotypic and genotypic characteristics of the mother and abnormal glucose tolerance during the first year postpartum. Diabetes, 34 , pp. Diabetes Care, 27 , pp.

SS90 Medline. Langer, D. Conway, M. Berkus, E. Xenakis, O. A comparison of glyburide and insulin in women with gestational diabetes. N Engl J Med, , pp. Jovanovik, S. Ilic, D. Pettit, K. Hugo, M. Bowsher, E. Bastyr III. Metabolic and immunologic effects of insulin lispro in gestational diabetes.

Diabetes Care, 22 , pp. Herranz, A. Villaroel, G. Riesco, P. Martin-Vaquero, M. Elective delivery in women with gestational diabetes mellitus. Diabetologia, 46 , pp. Pallardo, L. Herranz, T. Grande, P. Early postpartum metabolic assessment in women with prior gestational diabetes. Clark, C. Qiu, B. Amerman, B. Porter, M. Fineberg, S. Aldasouqi, A. Gestational diabetes: should it be added to the syndrome of insulin resistance?. Diabetes Care, 20 , pp. Herranz, P.

Grande, J. Impaired fasting glucose and impaired glucose tolerance in women with prior gestational diabetes are associated with a different cardiovascular profile. Diabetes Care, 26 , pp. The recurrence rate of gestational diabetes in subsequent pregnancies. Hanna, J. Screening for gestational diabetes: past, present and future.

Diabet Med, 19 , pp. Herranz, M. Grande, M. Follow-up of women with gestational diabetes, incidence and factors associated with later development of abnormal glucose tolerance test.

Herranz de la Morena, M. Villaroel Bajo, F. Grande, et al. Av Diabetol, 20 , pp. Do pregnancy complications and CVD share common antecedents?. Atheroscler Suppl, 5 , pp. White, J. Pregnancy in diabetes complicated by vascular disease.

Diabetes, 26 , pp. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin dependent diabetes mellitus. Rossetti, A. Giaccari, R. Diabetes Care, 13 , pp. Rosenn, M. Miodovnik, J. Khoury, T. Counter regulatory hormonal responses to hypoglycemia during pregnancy. Obstet Gynecol, 87 , pp. Weiss, H. Intensified conventional insulin therapy for the pregnant diabetic patient.