An integral management of the diabetes during the pregnancy

Authors

  • Roilder Romero Frómeta Dirección Provincial de Salud Guantánamo
  • Lourrits Palomares Pickering Dirección Provincial de Salud Guantánamo
  • Leonel Delgado Grems Centro de Atención al Diabético. Guantánamo

Keywords:

diabetes mellitus, pregnancy, maternal morbidity

Abstract

Introduction: gestational diabetes is a condition characterized by carbohydrate intolerance with varying degrees of severity that is recognized for the first time during pregnancy and may or may not resolve after this. In pregnant women with diabetes there is a greater risk of maternal and fetal complications. Objective: to carry out an update on the management of diabetes mellitus during pregnancy. Development: information sources, national and foreign, were managed and consulted on this current topic. They addressed aspects such as diabetes education, nutrition, physical activity, self-control, use of medications, especially insulin, and treatment of other conditions associated with pregnancy. Conclusions: it is important to ensure preconception care when the diabetic woman and her partner desire pregnancy. Undoubtedly, the woman with diabetes mellitus during pregnancy should receive a differentiated obstetric care with a multidisciplinary approach.

Downloads

Download data is not yet available.

Author Biographies

Roilder Romero Frómeta, Dirección Provincial de Salud Guantánamo

Especialista de II Grado en Medicina General Integral. Asistente.

Lourrits Palomares Pickering, Dirección Provincial de Salud Guantánamo

Especialista de II Grado en Medicina General Integral. Asistente.

Leonel Delgado Grems, Centro de Atención al Diabético. Guantánamo

Especialista de I Grado en Medicina General Integral y en Endocrinología. Instructor.

References

1. Mehta SH, Kruger M, Sokol RJ. Is maternal diabetes a risk factor for childhood obesity? J Matern Fetal Neonatal Med. 2012; 25(1):41-4.

2. Bunguet A. Long term outcome in children of mothers with gestational diabetes. J Gynecol Obstet Biol Reprod (Paris). 2010; 39(8):S322-37.

3. Asociación Americana de la Diabetes. Diabetes y embarazo. [en línea]. 2017; [citado 2 Sep 2017]; [aprox 8 p.]. Disponible en: https://medlineplus.gov/spanish/diabetesand pregnancy.html

4. Centros para el Control y la Prevención de Enfermedades. Diabetes gestacional y embarazo [en línea]. 2017 [citado 2 Sep 2017]; [aprox 8 p.]. Disponible en: https://www.cdc.gov/ pregnancy/Spanish/diabetes-gestational.html

5. Silva JR Da, Borges PS, Agra KF, Pontes IA, Alves JG. Effects of an aquatic physical exercise program on gestational diabetes. Trials. 2013; 14:390.

6. Águila S, Breto A, Cabezas E, Delgado JJ, Santisteban S. Diabetes y embarazo. Obstetricia y perinatología. Diagnóstico y tratamiento. La Habana: ECIMED; 2013.

7. Instituto Nacional de la Diabetes. Diabetes gestacional. [en línea]. 2017; [citado 2 Sep 2017]; [aprox 8 pp.]. Disponible en: https://www.niddk.nih.gov/health-information/espanol/diabetes-gestacional-embarazada/publicationdetail.aspx

8. Asociación Americana de la Diabetes. Tratamiento de la diabetes gestacional [en línea]. 2017 [citado 2 Sep 2017]; [aprox 8 p.]. Disponible en: http://www.diabetes.org/es/informacion-basica-de-la-diabetes/tratamiento-de-la-diabetes-gestacional.html

9. Colegio Americano de Obstetras y Ginecólogos.Embarazo saludable para mujeres con diabetes [en línea]. 2017 [citado 2 Sep 2017]; [aprox. 8 p.]. Disponible en: https://www.acog.org/Patients/Search-Patient-Education-Pamphlets-Spanish/embarazo-saludable-mujeres-con-diabetes

10. Leary J, Pettit DJ, Jovanovic L. Gestational diabetes guidelines. Best Prac Res Clin Endocrinol Metab. 2010; 24(4):673-85.

11. Colectivo de autores. Consenso Latinoamericano de Diabetes y Embarazo. La Habana: ECIMED; 2007.

12. Cuba, Ministerio de Salud Pública. II Consenso Cubano de Diabetes y Embarazo. La Habana: ECIMED; 2016.

13. García HE. Hipoglicemiantes orales en diabetes gestacional. Rev Méd Costa Rica [en línea]. 2014 [citado 15 Jul 2016]; LXXI (610): 225–229. Disponible en: http://www.binasss.sa.cr/ revistas/rmcc/610/art09.pdf

14. Blumer I, Hadar E. Diabetes and pregnancy. J Clin Endocrinol Metab. 2013; 98:4227-4249.

15. Gui J, Liu Q. Metformin vs insulin in the management of gestational diabetes. PLoS One [en línea]. 2013 [citado Jul 2017]; 8(5):e64585. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23724063

16. Hickman MA, McBride R, Boggess KA, Strauss R. Metformin compared with insulin in the treatment of pregnant with diabetes. Am J Perinatol [en línea]. 2013 [citado Jul 2017]; 30(6):483-90. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23096052

17. Salat D, Aguilera C. Tratamiento de la diabetes gestacional. MedClin (Barc) [en línea]. 2015 [citado 15 Jul 2016]; 145(6):269–272. Disponible en: http://www.icf.uab.es/es/pdf/consulta/preres55.pdf

18. Magon N, Seshiah V. Gestational diabetes mellitus. Indian J Endocrinol Metab [en línea]. 2011 [citado Jul 2017]; 15(4):284-293. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193777/

19. Enciclopedia Médica. Diabetes gestacional [en línea]. 2017; [citado 2 Sep 2017]; [aprox. 8 p.]. Disponible en: https://medlineplus.gov/spanish/ency/article/000896.htm

20. Berggren EK. Oral agents in gestational diabetes. Clin Obstet Gynecol [en línea]. 2013 [citado Jul 2017]; 56(4):827-836. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24005130

21. American Diabetes Association. Management of diabetes in pregnancy. Diab Care. 2014; 38(Supl 1):S77-S79.

22. American Diabetes Association. Standards of medical care in diabetes. 2015. Diab Care. 2015; 38(suppl 1):S1-S93.

23. Rowan JA, Hague WM, Gao W, Battin MR, Moore MP. Metformin versus insulin for the treatment of gestational diabetes. N Engl J Med. 2008; 358:2003–2015.

24. Langer O. Oral anti-hyperglycemic agents for the management of gestational diabetes mellitus. Obstet Gynecol Clin North Am [en línea]. 2007 [citado Jul 2017]; 34(2):255-274. Disponible: http://www.ncbi.nlm.nih.gov/pubmed/17572271

25. San Martín HJM, Alcázar ÁLS, Serrano BMA, Tirado CJ, Castro HGA. Metformina y diabetes gestacional. Rev Esp Méd Quir [en línea]. 2014 [citado Jul 2017]; 19(3):347-355. Disponible en: http://www.redalyc.org/html/473/47332498014/

Published

2018-12-15

How to Cite

1.
Romero Frómeta R, Palomares Pickering L, Delgado Grems L. An integral management of the diabetes during the pregnancy. Rev Inf Cient [Internet]. 2018 Dec. 15 [cited 2025 Apr. 22];97(5):1054-6. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2160

Issue

Section

Review Articles