Diabetes na gestação
| Autor: | João Regis Ivar Carneiro, Guilherme R. de Jesus, Marília B. Gomes, Roberta A Cobas, Carolina A. Cabizuca, Fátima R. D. Miranda, Fernanda O. Braga, Raquel C. Abi-Abib |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Fetus Environmental Engineering business.industry Obstetrics Type 2 Diabetes Mellitus medicine.disease Obesity Industrial and Manufacturing Engineering Review article Gestational diabetes Clinical trial Endocrinology Diabetes mellitus Internal medicine Epidemiology Medicine business |
| Zdroj: | Revista Hospital Universitário Pedro Ernesto. 13 |
| ISSN: | 1983-2567 1676-8280 |
| Popis: | Due to maternal aging and the obesity epidemic, the prevalence of type 2 diabetes mellitus among pregnant women and gestational diabetes mellitus is increasing. The association of diabetes and increasing risk of maternal and fetal complications has been known for several years, but only in 2008 the strong and continuous relationship between high glucose levels and the risk of fetal complications was confirmed in a large prospective clinical trial. Currently, diabetes screening is warranted in every pregnant woman through the measurement of fasting plasma glucose in the first pre-natal evaluation and OGTT (Oral Glucose Tolerance Test) between the 24th and 28th gestational weeks. Treatment is carried out by a multidisciplinary team, aiming at achieving near-normal glucose levels, leading to the reduction of maternal and fetal morbidity. The purpose of this review article is to discuss the epidemiology, physiopathology, diagnosis, complications, treatment and follow-up of pregnant women with pregestational diabetes and gestational diabetes, pointing out the similarities and peculiarities of each condition based on the most important studies and the most recent consensus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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