Resumen

VALDES AMADOR, Lemay et al. Maternal and perinatal repercussion of impaired fasting glycaemia. Rev Cubana Obstet Ginecol [online]. 2008, vol.34, n.3. ISSN 0138-600X.

OBJECTIVE: to report the perinatal and maternal morbimortality corresponding to this degree of glucose intolerance detected during pregnancy and that together with the diagnosis of Impaired Glucose Tolerance (IGT) has been classified as Prediabetes. METHODS: the maternal and perinatal results were studied in 9 patients with non-pathological respond at the second hour of the OGTT ( 7.8 mmol/L-140 mg/dL), but who fulfilled the criteria of impaired fasting glycaemia (IFG) according to the World Health Organization (6.1 to 6.9 mmol/L-110 to 125 mg/dL) more than once. RESULTS: in 4 of the patients it was necessary the treatment with Novonordisk human regular insulin at doses ranging from 0.5 Ud/kg of ideal body weight to 1.6 Ud. 50 % of the newborn infants presented excess of neonatal body weight. One of them with a weight over 4 000 g developed a symptomatic hypoglycaemia. A congenital anomaly (hydrocepaly) and two menaces of pretem delivery with need of anticalcic treatment were detected. CONCLUSION: Impaired fasting glycaemia according to our results has a severe impact on maternal and perinatal morbidity

Palabras clave : Impaired fasting glycaemia; pregnancy.

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