Diabetes gestacional

Gestational diabetes

La diabetes gestacional ocurre entre dos y quince por ciento de los embarazos. Los factores de riesgo inclu­ yen obesidad, intolerancia a la glucosa, historia familiar de diabetes mellitus y antecedente de óbito fetal. El diagnóstico se sustenta en la curva de tolerancia a la glucosa con dos valores anormales. El manejo médico se basa en dieta hipocalórica y ejercicio La terapia farmacológica con insulina ha sido tradicional. Los aná­ logos de insulina de acción rápida se aprobaron en 1996. Se analizan el seguimiento y control metabólico, así como la diabetes gestacional recurrente y el desarrollo de diabetes mellitus tipo 2.

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