Diabetes pregestacional en multigesta de 32 semanas de gestación

Diabetes Mellitus is the main health problem in Ecuador, of common and lethal disease, it is an endocrine-metabolic disease characterized by hyperglycemia, which is associated with alterations in the metabolism of carbohydrates, proteins and fats, deteriorating the health of those carry this disease. Pregestational Diabetes Mellitus is that diabetes known prior to current gestation; it can be type 1 and type 2 diabetes, which compromises maternal-fetal health, presenting complications such as: macrosomia, hypoxia, asphyxiation, respiratory distress síndrome, jaundice and even spontaneous abortion. Because the fetus is exposed to high glucosa concentrations during the first trimestre of pregnancy. The importance of uncontrolled pregestacional diabetes lies in the sequelae that occur in the fetus before and after pregnancy such as: neurological sequealae, obesity, diabetes and death. A strict control of Diabetes Mellitus two or three months prior to conception and until the end of organogenesis can reduce the frequency of congenital malformations and complications to the fetus. In addition to achieving the glycemic objectives with dietary recommendations, the preconceptional control allows to assess the situation of posible chronic complications of diabetes, perform a gynecological assessment and inform the future mother of the specific risk of pregnancy in your. In order to adapt the treatment, the assesment of the diet and behavior of the pregnant woman is neccesary for women to perform self-analysis of capillary glycemia on alternate days with 6 determinations (3 preprandial and 3 postprandial).

• Main Author: Lamilla Arana, Ingrid Lizbeth (author)
• Format: bachelorThesis
• Language: spa
• Published: 2019
• Subjects: Diabetes Mellitus; Embarazo; Diabetes Pregestacional; Complicaciones; Glucemia
• Online Access: http://dspace.utb.edu.ec/handle/49000/6502