Diabetes e Embarazo: Fisiopatología, clasificación y diagnóstico

Autores/as

  • Arturo Esquivel Grillo Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia

DOI:

https://doi.org/10.51481/amc.v37i1.628

Resumen

Al comienzo del embarazo, el metabolismo maternofetal es anabólico y a base de glucosa. La insulina mantiene su actividad y se eleva progresi vamente por acción de los esteroides placentarios. Esto contribuye al ahorro energético de grasas y glucosa, Al final del embarazo, el metabolismo continúa siendo anabólico, y a base de glucosa para el feto. En cambio es catabólico y a base de grasas para la madre. La resistencia progresiva a la insulina favorece esta tendencia. En el caso de diabetes y embarazo la distorsión de la homeostasis trae complicaciones maternas, fetales, neonatales y metabólicas.

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Citas

Palmer SM. Diabetes Mellitus. In De Cherney AH, Pernoll ML : Current Obstetric and Gynecologic Diagnosis and Treatment ( 8 Ed. ) Appleton and lange. 1994 ; 18 : 368-379.

Gabbe SG. Medical Complications of Pregnancy. Management of Diabetes in Pregnancy: Six Decades of Experience, in Atkin RM, Zlatnik Fj : Year Book of Obstetrics and Gynecology, Part I, Obstetrics Chicago, Year book. 1980 : 3749.

Jovanovic L : Diabetes and Pregnancy, in Krall LP • World Book of Diabetes in practice, New York, Elsevier Science Publishers. 1986; 2 : 194-199.

Kintz DH, Cutfield RG. Diabetes Mellitus and Pregnancy, in Galloway JA, Potvin JH, Shuman CR: Diabetes Mellitus. 1988: 226-239.

Arias F. Practical Guide to High Risk Pregancy and Delivery. 2nd. Ed, Mosby YB. 1993; 15:280-298.

Hollingsworth DR. Maternal Metabolism in Normal Pregnancy and Pregnancy complicated by Diabetes Mellitus. Clin Osbet Gynecol 1985; 28: 458.

Gucliucci CL, O'Sullivan MJ, Opperman W, Gordon M, Stone ML Intensive Care of the Pregnant Diabetic. AM J Obstet Gynecol. 1976; 435-441.

Freinkel N, Metzger B. Pregnancy as a Tissue Culture Experience : The Critical Implications of Maternal Metabolism, Diabetes and the Fetus, Ciba Foundation Symposium NO 63. Amsterdam. Excerpta Medica. 1979 : 3-28.

Knopp RH, Montes A, Childs M, Li J, Mabuchi H. Metabolic Adjustements in Normal and Diabetic Pregnancy. Clin Obstet Gynecol 1981; 24 : 30.

Kalkhoff RK. Medical Management of Diabetes in Pregnancy, in Davidson JK : Clinical Diabetes Mellitus, A Problem Oriented Approach. New York, Thieme Inc. 1986; 37 : 472484.

Whole Body Metabolism. In : Berne M, M: Principles of Physiology. 1990; 36:491-503.

Cousins L. Pregnancy Complications Among Diabetic Women: Review 1965-1985. Obstet Gynecol Surv 1987; 42: 140-148.

Siddigi T, Rosenn B, Mimouri F, et al. Hypertension During Pregnancy in Insulin-Dependent Diabetic Women. Obstet Gynecol 1991; 77: 514-519.

Kitzmiller JL, Gavinla, Gin GB et al. Preconception Care of Diabetes : Glicemic Control Prevents Congenital Anomalies. Jama 1991 ; 265:731-736.

Gabbe SG. Congenital Malformations in Infants of Diabetic Mothers. Obstet Gynecol Surv 1977; 32 : 125132.

National Diabetes Data Group: Clasification and Diagnosis of Diabetes Mellitus and Other Categories of Glucose Intolerance. Diabetes 1979; 28: 1039. 17. White P. Clasification of Obstetric Diabetes. AM. J Obstet Gynecol 1978; 1130:228.

landon MB, Gabbe SG. Diabetes Mellitus. In James DK, steer PJ, Weiner CP,Gonik B : High Risk Pregnancy, Management Options. Sanders 1994; 19:277-292.

Gabbe SG. Diabetes Mellitus : Obstetric Management. In Davidson JK: Clinical Diabetes Mellitus: A Problem Oriented Approach. New York, Thieme Inc. 1986; 38: 485-495.

O'Sullivan JB. Stablishing Criteria for Gestational Diabetes. Deabetes Care. 1980; 11:761.

G6mez G: Diabetes y Embarazo. En Cifuentes R: Obstetricia de Alto Riesgo, 4 a. Ed.-Aspromédica. 1994; 28: 611-634.

Grant PT,Oats JN,Beischer N. The Long Term Follow-Up of Women with Gestational Diabetes. Aust NZ. J Ostet Gynecol. 1986; 6: 17.

Hare JW. White P. Gestational Diabetes and the White Clasification. Diabetes Care. 1980; 3:394.

Barden TP, Knowles HC. Diagnosis of Diabetes in Pregnancy in Clinical Obstet Gynecol 1981; 24: 3-19. 25. Carpenter NW, Coustan DR. Criteria for Screening Tests of Gestational Diabetes. American J of Obstet and Gynecol. 1982; 144: 768.

Coustan DR,Widness JA, Carpenter NW et al. Maternal Age and Screening for Gestational Diabetes: A Population Based Study. Obstetrics and Gynecology. 1989; 73:557.

O'Sullivan Summary and Recomendation of the Third International Workshop. Conference on Gestational Diabetes. Diabetes 1991; 40 : 197 ( Suppl 2 ).

Magee MS, Walden CE, Benedetti TJ et al. Influence of Diagnostic Criteria on the Incidence on Gestational Diabetes and Perinatal Mortality. Jama; 1993; 269: 609-615.

Coustan DR, Widness JA, Carpenter MW et al. The "Breakfast Tolerance Test". Screening for Gestational Diabetes with a Standarized Mixed Nutrient Meal. AM J Obstet Gynecol. 1987; 157: 1113-7.

Langer O, Brustman L, Anyaegbunam A, et al. The Significance of One Abnormal Glucose Tolerance Test Value on Adverse Outcome in Pregnancy. AM J Obstet Gynecol. 1987; 157: 758-763.

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Publicado

2010-01-26

Cómo citar

Esquivel Grillo, A. (2010). Diabetes e Embarazo: Fisiopatología, clasificación y diagnóstico. Acta Médica Costarricense, 37(1), 45–54. https://doi.org/10.51481/amc.v37i1.628