Tratamento do diabetes melito gestacional

Maganha, Carlos Alberto; Vanni, Diana Gertrudes Barenboim Salles; Bernardini, Maria Augusta; Zugaib, Marcelo

doi:10.1590/s0104-42302003000300040

Cited by 18 publications

(18 citation statements)

References 29 publications

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“…Insulin lispro, which is analogous to human insulin (peaking action after an hour of injection), has been shown safe during pregnancy, with no significant increase in birth defects, and significantly improving the postprandial glycemic control and long-term glycosylated hemoglobin. However, there are no differences in relation to the regular insulin and perinatal outcome (39) .…”

Section: Insulin Therapymentioning

confidence: 85%

“…The main ojective of exercise in the GDM to decrease glucose intolerance through cardiovascular conditioning, which causes an increase in the affinity of insulin to its receptor by decreasing intra-abdominal fat, an increase in glucose transporter sensitivity to insulin on muscle, an increase in blood flow in insulin-sensitive tissues, and a decrease in FFA levels (37,39) . Moderate physical exercise (1 h per day) is recommended to all pregnant women.…”

Section: Physical Exercisementioning

confidence: 99%

“…Older recommendations such as those from the American College of Obstetricians and Gynecologists in 2001 suggest that pharmacotherapy should be initiated when fasting plasma glucose is ≥ 95 mg/dL, 1-h postprandial plasma glucose is ≥ 130 -140 mg/dL, or 2-h postprandial plasma glucose is ≥ 120 mg/dL (39,40) .…”

Section: Pharmacologic Treatmentmentioning

confidence: 99%

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Metabolic alterations in pregnant women: gestational diabetes

Oliveira¹,

Pereira²,

Fernandes³

2012

Journal of Pediatric Endocrinology and Metabolism

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Gestational diabetes mellitus (GDM) and controversy are old friends. The impact of GDM on maternal and fetal health has been increasingly recognized. Nevertheless, universal consensus on the diagnostic methods and thresholds has long been lacking. Published guidelines from major societies differ significantly from one another, with recommendations ranging from aggressive screening to no routine screening at all. As a result, real-world practice is equally varied. This article recaps the latest evidence-based recommendations for the diagnosis and classification of GDM. It reviews the current evidence base for intensive multidisciplinary treatment of GDM and provides recommendations for postpartum management to delay and/or prevent progression to type 2 diabetes.

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Section: Insulin Therapymentioning

confidence: 85%

Section: Physical Exercisementioning

confidence: 99%

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Metabolic alterations in pregnant women: gestational diabetes

Oliveira¹,

Pereira²,

Fernandes³

2012

Journal of Pediatric Endocrinology and Metabolism

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“…Para Maganha et al, (2003) o comprometimento fetal decorrente do DMG provém primordialmente da hiperglicemia materna, que por difusão facilitada chega ao feto. A hiperglicemia fetal, por sua vez, estimula a produção exagerada de insulina, é a responsável pela macrossomia, fetos grandes para a idade gestacional, aumento das taxas de partos cesarianos, traumas de canal de parto e distócia de ombro, hipoglicemia, hiperbilirrubinemia e óbito fetal intra-uterino (5) . Visto que os comprometimentos ao feto são bastante comuns com a de outros autores.…”

Section: Introductionunclassified

O Diabetes Mellitus Gestacional: Causa e Tratamento / The Managemental Diabetes Mellitus: Cause And Treatment

Fernandes

Bezerra

2020

IDonline

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Resumo: O presente artigo científico faz uma análise ao Diabete Mellitus Gestacional (DMG), trata-se de uma doença sistêmica e que pertence a um grupo heterogêneo de distúrbios metabólicos que apresenta em comum a hiperglicemia que é resultante de efeitos na ação da insulina, na secreção de insulina ou em ambos. O objetivo geral deste trabalho é refletir sobre as causas e procedimentos que acometem o DMG e como específicos é identificar as razões da gestante ter adquirido o DMG e verificar o diagnóstico, analisar o tratamento e assistência humanitária para com a gestante e o feto, a fim de evitar, a mortalidade e problemas futuros. Descreve o grupo de mulheres susceptíveis ao DMG, suas características físicas, genéticas e hormonais, os procedimentos para o diagnóstico, quais tipos de exames devem ser feitos durante a gestação e seus níveis adequados no sangue. Faz uma abordagem sobre o tratamento durante a gestação, os cuidados alimentares e laboratoriais. Explica quais procedimentos devem ser adotados após o parto para com a mãe. O método utilizado é uma de pesquisa bibliográfica, de caráter qualitativo, pois foi desenvolvida com base em material já elaborado, construído principalmente de livros e artigos científicos. Leva a reflexão à um olhar clínico da equipe de saúde, e da própria mulher, para os problemas acometidos durante a gestação e futuramente para a mãe e o bebê, se não houver controle e monitoramento do DMG durante e pós-gestação.Abstract: This scientific article is an analysis of the Diabetes Mellitus Gestational (DMG), it is a systemic disease that belongs to a heterogeneous group of disorders that me¬tabólicos has in common hyperglycemia which is resulting effects on insulin action, in insulin secretion or both. The aim of this paper is to discuss the causes and procedures that affect the DMG and how specific is to identify the pregnant woman's reasons for purchasing the DMG and verify the diagnosis, review treatment and humanitarian assistance to the pregnant woman and the fetus in order to avoid, mortality and future problems. Describes the group of women susceptible to DMG, their physical, genetic and hormonal, procedures for diagnosis, what types of tests should be done during pregnancy and their appropriate levels in the blood. Is an approach to the treatment during pregnancy, food and laboratory care. Explains what procedures must be followed after delivery to the mother. The method used is a bibliographical research, qualitative, because it was developed on the basis of already prepared material, built mainly of books and scientific articles. It takes reflection to a clinical look of the health team, and the woman herself for the problems caused during pregnancy and in the future for the mother and the baby, if there is no control and monitoring of GDM during and post-pregnancy.

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“…They also have an increased risk of developing hypertensive disorders during pregnancy, characterizing the pregnancy as high-risk, a fact that demands greater care and follow-up to prevent possible complications and death. [4][5][6][7][8] Considering the increasing presence of the main risk factors for the development of GD in women of childbearing age and the fact that pregnancies associated with GD are characterized as high-risk, therefore requiring more caution and attention, the present research aimed at comparing the maternal and fetal outcomes of parturients with and without a diagnosis of GD.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

Freitas

Hintz

Orth

et al. 2019

Rev Bras Ginecol Obstet

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Objective The present study aims to compare the maternal and fetal outcomes of parturients with and without a gestational diabetes diagnosis. Methods A case-control study including parturients with (cases) and without (control) a gestational diabetes diagnosis, who delivered at a teaching hospital in Southern Brazil, between May and August 2018. Primary and secondary data were used. Bivariate analysis and a backward conditional multivariate logistic regression were used to make comparisons between cases and controls, which were expressed by odds ratio (OR), with a 95% confidence interval (95%CI) and a statistical significance level of 5%. Results The cases (n = 47) were more likely to be 35 years old or older compared with the controls (n = 93) (p < 0.001). The cases had 2.56 times greater chance of being overweight (p = 0.014), and a 2.57 times greater chance of having a positive family history of diabetes mellitus (p = 0.01). There was no significant difference regarding weight gain, presence of a previous history of gestational diabetes, height, or delivery route. The mean weight at birth was significantly higher in the infants of mothers diagnosed with diabetes (p = 0.01). There was a 4.7 times greater chance of macrosomia (p < 0.001) and a 5.4 times greater chance of neonatal hypoglycemia (p = 0.01) in the infants of mothers with gestational diabetes. Conclusion Therefore, maternal age, family history of type 2 diabetes, obesity and pregestational overweightness are important associated factors for a higher chance of developing gestational diabetes.

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Tratamento do diabetes melito gestacional

Cited by 18 publications

References 29 publications

Metabolic alterations in pregnant women: gestational diabetes

Metabolic alterations in pregnant women: gestational diabetes

O Diabetes Mellitus Gestacional: Causa e Tratamento / The Managemental Diabetes Mellitus: Cause And Treatment

Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

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