Abstract

RODRIGUEZ FERNANDEZ, José Manuel; DIAZ AGUERO, Heriberto; AMADOR DE VARONA, Caridad Irene  and  VALDES DACAL, Sigfrido. Treatment of diabetes mellitus during pregnancy. AMC [online]. 2014, vol.18, n.4, pp. 371-382. ISSN 1025-0255.

Background: gestational and pre-gestational diabetes are considered a common and an associated disease of pregnancy respectively, with great consequences for the mother and the fetus. Objective: to determine the medical results with the new therapeutic forms of diabetes mellitus during pregnancy. Method: a descriptive, observational study was conducted in 929 expectant mothers in the Ana Betancourt de Mora Provincial Teaching Gynecobstetric Hospital in Camagüey in the period 2009-2012. The universe was composed of pregnant women diagnosed with diabetes mellitus during pregnancy. The data was taken from the medical histories. A variables relationship was applied in the statistical analysis. The software Microsoft Word and Microsoft Excell for Windows 98 was used and a statistical probability was found. Results: for pre-gestational and gestational diabetes mellitus, the average age was 18±6 and 34-5 years; the number of births was of 0, 2±1, 3 and 2±1, 7. The antecedent of abortions was of 0, 1±0, 7 and 1±1, 1; the antecedent of miscarriages was of 0, 2±1, 1 and 3±1, 8. On the other hand, the gestation time at diagnosis was of 10±1, 2 in the pre-gestation period and 18±3 weeks in the gestation period. The gestation time at birth was of 35, 2±2 for the first subgroup and 40, 4±0, 6 weeks for the second one. The weight of the newborn babies was of 2 920±212g and 3 500±232g in each group. In the case of the patients in the pre-gestation period, simple insulin fractionated in doses of more than 30 daily units was used in 80 women and a mixture of insulin in 35. In the case of women in the gestation period, insulin fractionated in doses of more than 30 daily units was used in 135 patients, and in 11 patients using the combination of insulin was needed. Conclusions: pre-gestational diabetes is more frequent in adolescents without delivery experience. The pregnancy time at diagnosis and at birth was more precocious in women in the pre-gestation period, while the weight gain and the weight of the newborns had permissible values in both groups.

Keywords : DIABETES, GESTATIONAL [therapy]; THERAPEUTICS; WEIGHT GAIN; WOMEN; OBSERVATIONAL STUDY.

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