Diabetes mellitus und Schwangerschaft: Screening und Therapie [Diabetes mellitus and pregnancy: screening and therapy].

Details

Serval ID
serval:BIB_375644C9E262
Type
Article: article from journal or magazin.
Collection
Publications
Title
Diabetes mellitus und Schwangerschaft: Screening und Therapie [Diabetes mellitus and pregnancy: screening and therapy].
Journal
Praxis
Author(s)
Wunder D., Dürig P.
ISSN
1661-8157 (Print)
ISSN-L
1661-8157
Publication state
Published
Issued date
2003
Volume
92
Number
13
Pages
591-596
Language
german
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
There are two entities to differentiate: 1. Diabetes in pregnancy (pre-existent type 1 or type 2 diabetes with tendency of deterioration during pregnancy or first occurrence of a type 1 or type 2 diabetes with persistence after pregnancy. 2. Impaired Glucose Tolerance = IGT (Diagnosis of an impairment of glucose tolerance during pregnancy) Aims of the screening are the avoidance of complications for mother and child. There is no uniform consent regarding screening during pregnancy. With pregnant women without risk factors, the blood sugar is determined without eating and drinking in plasma between 24 and 28 weeks of gestation. If values are > 4.8 mmol/l, an oral 75 g glucose tolerance test is carried out. Alternatively, a 50 g oral glucose tolerance test can be made. With pregnant women with risk factors, we already carry out an oral 75 g glucose tolerance test in the first trimester. If the values are normal, we repeat the 75 g glucose tolerance test between 24 and 28 weeks of gestation. Main pillars of therapy are diet and movement. In gestational diabetes, an insulin therapy is indicated if blood sugars are too high, fetal growth is sonographically accelerated or a polyhydramnion is present. Oral antidiabetic medicaments are contraindicated during pregnancy. Pregnancies with diabetes in pregnancy or gestational diabetes are risk pregnancies, which are controlled more intensively. Delivery is ideally at term or with confirmed lung maturity. If an impaired glucose tolerance is diagnosed during pregnancy, an oral 75 g glucose tolerance test as well as annually blood sugar controls are carried out because of the augmented risk of developing a type 2 diabetes later in life.
Keywords
Diabetes Mellitus, Type 1/diagnosis, Diabetes Mellitus, Type 1/therapy, Diabetes Mellitus, Type 2/diagnosis, Diabetes Mellitus, Type 2/therapy, Diabetic Diet, Exercise, Female, Glucose Tolerance Test, Humans, Hypoglycemic Agents/contraindications, Infant, Newborn, Mass Screening, Pregnancy, Pregnancy in Diabetics/diagnosis, Pregnancy in Diabetics/therapy, Pregnancy, High-Risk, Prenatal Care
Pubmed
Create date
19/03/2012 10:27
Last modification date
20/08/2019 13:25
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