DIAZ AGUERO, Heriberto et al. Handling of the pregnant woman with tolerance to high levels of glucose. []. , 19, 1, pp. 7-17. ISSN 1025-0255.

Background: tolerance to high levels of glucose is associated with fetal and mother morbidity and mortality, statistically similar to gestational diabetes. Objective: to assess the results of the prophylactic use of insulin in patients with tolerance to high levels of glucose and bad obstetric antecedents. Method: an experimental design with the use of prophylactic insulin in pregnant women with tolerance to high levels of glucose with obstetric antecedents in the Ana Betancourt de Mora Ginecobstetric Teaching Hospital, Camagüey, from January 2009 to December 2010, was conducted. The universe was composed of 179 pregnant women and the non-probabilistic sample was composed of 25 patients. Results: before the intervention 22 patients had no children, 16 of them were older than 30 years old and had no living children. As a family risk factor, diabetes mellitus type 2 represented the 56 %. All the patients presented two or more obstetric risks; habitual abortion and fetal deaths predominated. All the patients presented blood glucose levels higher than 4, 4 mmol/L when going to the catchment area; also, the results of their glucose tolerance tests were normal; maternal overweight represented the 44 %. After the insulin treatment was applied to the patients 20 pregnant women got to the term of pregnancy, there were two preterm deliveries, two abortions, and a stillbirth. There was not any neonatal death. After the six weeks of puerperium, one of the patients developed diabetes mellitus type 2. Conclusion: after the intervention was applied, more than the half of the sample got to the term of pregnancy and the fetal morbidity and mortality decreased.

: PATIENT CARE MANAGEMENT; DIABETES, GESTATIONAL; INSULIN [therapeutic use]; PREGNANT WOMEN; INTERVENTION STUDIES.

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