A responsabilidade do obstetra sobre o diagnóstico e o tratamento do diabete melito gestacional

Rudge, Marilza Vieira Cunha; Calderon, Iracema de Mattos Paranhos

doi:10.1590/s0100-72032006001000001

Cited by 6 publications

(25 citation statements)

References 11 publications

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“…A comparative study between universal screening, 50-g OGTT, and the fasting glucose with risk factor combination approach, which is simpler and easier to perform, demonstrated their equivalence (Rudge et al, 1994a). The combination of fasting glucose with risk factor showed a sensitivity rate of 83.7% and a negative predictive value of 95.3% when compared with 50-g OGTT (Rudge & Calderon, 2004).…”

Section: Diagnosismentioning

confidence: 93%

“…This system, initially developed to help at delivery, is still widely used to predict complications during pregnancy and is, therefore, considered an etiologic, prognostic and progressive system (Table 1) (Rudge & Calderon, 2004).…”

Section: Classificationmentioning

confidence: 99%

“…Gabbe et al (1985) suggested aggregating P. White's classes into three categories according to clinical severity, duration, and presence of vascular complications in target organs as follows: Pedersen (1979) defined the prognostic factors considering that the presence of ketoacidosis, coma, pyelonephritis, preeclampsia, and treatment negligence, among others, represent maternal, fetal and neonatal risk. In 1981, Rudge & De Luca added the lack of hospital beds specifically assigned to the treatment of these risk pregnancies as another criterion (cited in Rudge & Calderon, 2004 In 1980, WHO (World Health Organization Expert Committee on Diabetes Mellitus) endorsed the recommendations of NDDG and went on to include impaired glucose tolerance, classifying the type of diabetes associated with pregnancy as type I, type II, gestational impaired glucose tolerance and gestational diabetes. This system defined Diabetes mellitus as an etiologically and clinically heterogeneous group of disorders that share hyperglycemia in common.…”

Section: Classificationmentioning

confidence: 99%

“…This system defined Diabetes mellitus as an etiologically and clinically heterogeneous group of disorders that share hyperglycemia in common. The recognition of this heterogeneity has important implications not only for the individualization of treatment of patients with diabetes but also for clinical research (Calderon & Rudge, 2004).…”

Section: Classificationmentioning

confidence: 99%

“…Pregnancy, a period when maternal pancreatic reserve is tested, should be considered as a risk factor for diabetes (Rudge & Calderon, 2004). Gestational diabetes (GD) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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<b>Diabetes and Pregnancy: an Update of the Problem</b>

Calderon

Kerche²,

Damasceno³

et al. 2007

Annu Rev Biomed Sci

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Calderon I MP, Kerche LTRL, Damasceno DC, Rudge MVC. Diabetes and Pregnancy: an Update of the Problem. ARBS Annu Rev Biomed Sci 2007;9:1-11. Pregnancies complicated by diabetes account for about 7% of all pregnancies attended by the Brazilian Unified Healthcare System (SUS) and are one of the main causes of maternal/perinatal morbidity and mortality in Brazil. Considering the importance of this topic, this article presents an update of diabetes classification, diagnostic criteria, maternal/perinatal outcomes, and both clinical and obstetric prenatal care. Even though there is no consensus about screening and diagnostic standards, the investigation of hyperglycemia in all risk pregnancies is recommended. The importance of adequate metabolic control is emphasized in order to improve maternal and neonatal outcomes. Finally, the development of educational programs is encouraged, viewing not only good gestational outcome but also long-term changes in the lifestyle of these women.

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Section: Diagnosismentioning

confidence: 93%

Section: Classificationmentioning

confidence: 99%

Section: Classificationmentioning

confidence: 99%

Section: Classificationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

<b>Diabetes and Pregnancy: an Update of the Problem</b>

Calderon

Kerche²,

Damasceno³

et al. 2007

Annu Rev Biomed Sci

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Metabolic Profile of Offspring from Diabetic Wistar Rats Treated with Mentha piperita (Peppermint)

Barbalho

Damasceno

Spada

et al. 2011

Evidence-Based Complementary and Alternative Medicine

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This study aimed at evaluating glycemia and lipid profile of offspring from diabetic Wistar rats treated with Mentha piperita (peppermint) juice. Male offspring from nondiabetic dams (control group: 10 animals treated with water and 10 treated with peppermint juice) and from dams with streptozotocin-induced severe diabetes (diabetic group: 10 animals treated with water and 10 treated with peppermint juice) were used. They were treated during 30 days, and, after the treatment period, levels of glycemia, triglycerides, total cholesterol, and fractions were analyzed in the adult phase. The offspring from diabetic dams treated with peppermint showed significantly reduced levels of glucose, cholesterol, LDL-c, and triglycerides and significant increase in HDL-c levels. The use of the M. piperita juice has potential as culturally appropriate strategy to aid in the prevention of DM, dyslipidemia, and its complications.

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