Diabetes and pregnancy: updating

Authors

  • Orlando Restrepo Ochoa

DOI:

https://doi.org/10.18597/rcog.709

Keywords:

diabetes, insulin-dependent, hyperglycemia, hypoglicemia, macrosomia, labor, delivery

Abstract

I make a revision that includes the new ethiologic classification and the new diagnostic criteria of Diabetes Mellitus (DM). At the same time, I analyze the metabolism of the obstetric pregnant woman, the effects of gestation on DM and vice versa.

Finally, I emphasize in the metabolic management of the DM during antepartum period, labor and delivery; besides, I discuss the obstetric management, including route and timing of delivery.

Author Biography

Orlando Restrepo Ochoa

Profesor de Grupo de Perinatología. Departamento de Obstetricia y Ginecología, Facultad de Medicina. Universidad de Antioquia

References

Restrepo O. Enfoque y manejo de la embarazada diabética. Revista Colombiana de Obstetricia y Ginecología. Abril - Junio, 1992; 43(2): 97-108.

White P, Titus RS, Joslin EP. Prediction and prevention of late pregnancy accidents in diabetes. Am J Med Sci. 1939; 198: 482- 492.

Moore TR. Diabetes in pregnancy. En: Creasy Resnik. Maternal-Fetal Medicine. 4th edition. USA: W.B. Saunders Company, 1999; 964-995.

Arias F. Diabetes y Embarazo. En: Guía práctica para el embarazo y el parto de alto riesgo. Segunda edición. Madrid: Mosby / Doyma libros, 1994; 284-303.

Parra MO, Peralta MT. Diabetes y Gestación. En: Náñez H, Ruiz Al. Obstetricia y Perinatología. Primera edición. Santafé de Bogotá: Lito Camargo, 1999; 637-647.

National Diabetes Data Group. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes, 1979; 28: 1039-1057.

World Health Organization. Diabetes Mellitus: report of a WHO Study Group. Geneve, World Health Org. 1985; 727.

Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. July, 1997; 20(7):1183- 1197.

Summary and Recommendations of the Fourth international Workshop-Conference on Gestational Diabetes Mellitus. Diabetes care. August, 1998; 21(suppl 2): B121-B167.

Kjos SL. Peters RK, Xiang A, et al. Predicting future diabetes in Latino women with gestational diabetes. Utility of early postpartum glucose tolerance testing. Diabetes, 1995; 44: 586.

O' Sullivan JB, Mahan CM. Criteria for the oral glucose tolerance test in pregnancy. Diabetes May-Jun, 1964; 13(3): 278-285.

Diabetes and pregnancy. ACOG Technical Bulletin. 1994; 200.

Freinkel N, Josimovich J. Conference Planning Committee: American Diabetes Association Workshop-Conference on Gestational Diabetes: summary and recommendations. Diabetes Care. 1980; 3; 499-501.

Freinkel N. Summary and recommendations of the second International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes, 1985; 34(suppl 2): 123-126.

Metzger BE. The organizing committee: summary and recommendations of the third International Workshop - Conference on Gestacional Diabetes Mellitus. Diabetes, 1991; 40(suppl 2): 197-201.

Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am. J. Obstet Gynecol. 1982; 144: 763-773.

Deerochanawong C, Putiyanum C, Wongsuryrat M et al. Comparison of National Diabetes Data Group and World Health Organization Criteria for detecting gestational diabetes mellitus. Diabetología, 1996; 39: 1070-1073.

Pedersen J. La diabética gestante y su recién nacido. Problemas y tratamiento. Barcelona, Salvat editores. 1981; 278.

Gabbe SO. Definition, detection and management of gestational diabetes. Obstet Gynecol. 1986; 67(1): 121-125.

Algert S et al. Moderate caloric restriction in obese women with gestational diabetes. Obstet Gynecol. Apr, 1985; 65(4): 487-491.

Freinkel N, Metzger. BE, Phelps RL et al. Gestational Diabetes Mellitus. Heterogeneity of maternal age, weight, insuline secretion, HLA antigens, and islet cells antibodies and the impact of maternal metabolism on pancreatic B-cell and somatic development in the offspring diabetes. Jun, 1985; 34(suppl 2): 1-7.

American Diabetes Association Position Statement. Gestational Diabetes Mellitus. Diabetes Care. January, 1995; 18 (suppl 1):24-25.

Deckert T. The inmunogenicity of new insulins. Diabetes. Jun, 1985; 34 (suppl 2): 94-96.

Villegas P. Que hay de nuevo en diabetes mellitus. En: Actualización en Medicina Interna. Primera edición. Medellín - Colombia: Imprenta U. de A., 1998; 275-287.

Widness JA, Cowett RM, Constan DR et al. Neonatal morbidities in infants of mothers with glucose intolerance in pregnancy. Diabetes. Jun, 1985; 34(suppl 2): 61-65.

American Diabetes Association. Gestational diabetes mellitus. Diabetes Care. January, 1999; 22(suppl 1): S74-S76.

How to Cite

1.
Restrepo Ochoa O. Diabetes and pregnancy: updating. Rev. colomb. obstet. ginecol. [Internet]. 2000 Mar. 30 [cited 2024 May 11];51(1):19-28. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/709

Downloads

Download data is not yet available.

Published

2000-03-30

Issue

Section

Topic Review
QR Code

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo

Some similar items: