Proceso de atención nutricional en paciente postparto de 31 años de edad con diabetes mellitus tipo 1 y desnutrición.

A 31-year-old woman with a 32.3 week pregnancy. Week of pregnancy she was consulted by the delivery service due to severe malnutrition. The patient has a history of type 1 diabetes and family history of diabetes and hypertension. Her preconception weight was 38.5 kg with a height of 148 cm, giving a BMI of 17.58 kg/m2, suggesting malnutrition. During pregnancy she currently weighs 36 kg, demonstrating negative weight gain. Nutritional assessment revealed poor nutritional status with inadequate intake of key nutrients and suboptimal diabetes control. Biochemical studies showed altered glucose and hemoglobin A1c levels, while fetal ultrasound indicated adequate fetal development. Nutritional intervention included specific dietary changes, with the patient progressively gaining weight up to 42 kg and improving her glycemic control, although still not enough to reach the ideal goals. The follow-up care was crucial to adjust diet and treatment, but the patient had difficulties due to entrenched socioeconomic and dietary factors. Educational and emotional support was essential, but a more comprehensive and continuous approach is recommended to overcome existing barriers. The intervention has a tendency to have a positive impact on the health of the mother and the fetus, and the continuous follow-up is essential to guarantee a favorable outcome of the pregnancy.

• المؤلف الرئيسي: Preciado Troya, Mercedes Mabel (author)
• التنسيق: bachelorThesis
• منشور في: 2024
• الموضوعات: Postparto; Desnutrición; Nutrición; Diabetes Mellitus tipo 1; Atención
• الوصول للمادة أونلاين: http://dspace.utb.edu.ec/handle/49000/17577