[Diabetes and pregnancy]
| Autor: | Éva Baranyi, Gábor Winkler |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Blood Glucose
medicine.medical_specialty medicine.medical_treatment Pregnancy in Diabetics Preconception Care Insulin resistance Pregnancy Diabetes mellitus Dietary Carbohydrates Medicine Humans Hypoglycemic Agents Insulin Medical nutrition therapy Glycemic Patient Care Team business.industry Obstetrics General Medicine Glucose Tolerance Test medicine.disease Gestational diabetes Diabetes Gestational Early Diagnosis Hyperglycemia Female Insulin Resistance business |
| Zdroj: | Orvosi hetilap. 152(41) |
| ISSN: | 0030-6002 |
| Popis: | Metabolic characteristics of physiological and diabetic pregnancies are discussed. The basic factor of these changes is the increasing insulin resistance throughout pregnancy, which in case of diabetes may result in hyperglycemia with undesirable clinical consequences and complications for both the mother and the fetus. Prevention of these complications by maintaining physiological metabolic state of diabetic pregnant women is possible, which is similar to that of healthy women. The aim of treatment of pregnant diabetics is to achieve normoglycemic state during the whole gestation that is possible by early diagnosis in case of gestational diabetes and by an adequate preconceptional care in case of pregestational diabetes. To obtain desirable glycemic conditions insulin treatment is necessary in most of the cases together with an adequate, quantitative nutrition therapy, while oral antidiabetic drugs during pregnancy and lactation are to be avoided. For adequate care of the cases with diabetes and pregnancy interdisciplinary diabetes centers with well-trained experts are required. Orv. Hetil., 2011, 152, 1635–1640. |
| Databáze: | OpenAIRE |
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