Abstract

RISCO ALMENARES, Gladys Melvys; ALARCON MARTINEZ, Yanet; ROQUE DUARTE, Angela María  and  DEL RISCO PASTRANA, Francisco. Influence of glycemic control in the diabetic expectant mothers. AMC [online]. 2007, vol.11, n.6. ISSN 1025-0255.

During gestation the oragnism needs a greater contribute of insulin needing a greater utilization of glucose, pregnancy is a metabolic situation in which hormonal changes occur that favor the development of diabetes.  The present descriptive study was conducted in pregnant women with Gestational Diabetes (97) and Pregestational Diabetes (11) diagnosed at "Ana Betancourt de Mora" Ginecobstetric Provincial Hospital during the year 2004. The glycemic control by identifying glycemic profile and its impact on perinatal outcomes, was investigated . In both groups a number of variables collected in a survey were determined. Data were processed by the SPSS statistical system, frequency distribution in absolute values and percents was found. Good control dominated in the study, greater frequency of regular and bad with the increase in age, excessive maternal weight, greater evolution time of pregestational diabetes and the presence of several maternal risk factors. Sepsis and arterial hypertension were the most frequent diseases associated at pregnancy with 36 and 32 patients, respectively. On the other hand the age over than 30 years was present 58.3% constituting the risk factor of greater incidence. The most frequent perinatal complications were sepsis, respiratory distress syndrome and jaundice in spite of the good metabolic control achieved, predominated morbidities associated to these diseases or  risk factors in the mother.

Keywords : DIABETES GESTACIONAL; GLUCOSE TOLERANCE TEST.

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