Sunday, November 13, 2011

Gestational Diabetes

Gestational diabetes is defined as any glucose intolerance of varying severity discovered during pregnancy. It may be discovered during a routine screening or testing performed to risk factors.

What are the risk factors for gestational diabetes?
Maternal age> 35 years
Family history of diabetes
Personal history of gestational diabetes
Personal history of midwifery: Pre-eclampsia, fetal macrosomia, unexplained stillbirth, birth defects.
When can we make screening for gestational diabetes?
Systematic screening is between 24 and 28 weeks (weeks)
If risk factor screening is done early in pregnancy, then 24 and 28 weeks if negative
Conventional strategy in two steps for testing:
The test OSullivan: Review of reference that evaluates the rate of absorption of blood sugar (glucose regulation) to screen for possible gestational diabetes.
Test = OSSULIVAN taking 50g of glucose with or without food and determination of plasma glucose after 1 hour.


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