26 nov. 2009 TESTE DE SCREENING SI DIAGNOSTICUL DIABETULUI GESTATIONAL
Mircea Onofriescu
Clinica I Obstetrica si Ginecologie Iasi, Universitatea de Medicina si Farmacie Iasi
Rezumat
Diabetul gestational (DG) este definit ca o tulburare a tolerantei la glucoza de severitate variabila descoperita în timpul sarcinii. Definitia ramâne în vigoare indiferent daca insulina este utilizata sau nu pentru tratament, indiferent daca tulburarile metabolismului glucidic persista si dupa sarcina.
Aceasta definitie generala acopera o sfera heterogena ce include diabetul de tip 2, nediagnosticat anterior (din ce în ce mai frecvent), diabetul de tip 1 cu debut în cursul sarcinii, precum si intoleranta tranzitorie la glucide ce apare în timpul trimestrului I de sarcina. Diabetul gestational este raspunzator de 3-5% din complicatiile nasterii si reprezinta una dintre complicatiile cele mai comune ale sarcinii.
Abstract – CURRENT RECOMANDATION FOR THE DETECTION OF GESTATIONAL DIABETES
Gestational diabetes mellitus is defined as glucose intolerance that is first detected during pregnancy. This simple definition belies the complexity of a condition that spans a spectrum of glycemia, pathophysiology, and clinical effects and for which there is a wide diversity of opinion regarding detection and clinical management.
There is convincing evidence that mild maternal hyperglycemia is a risk factor for fetal morbidity, but that morbidity occurs only in a minority of cases. Failure to recognize and treat the condition will result in unnecessary morbidity in some pregnancies, whereas overly aggressive approaches to detection and treatment will result in unneeded interventions in many others. We will review current recommendations for the detection of gestational diabetes.