Posts Tagged ‘hyperglycemia’
Gestational Diabetes Mellitus (dmg)
Gestational diabetes is defined as carbohydrate tolerance that begins or is first detected during pregnancy, regardless of gestational age or persistent posterior to it. As in other forms of hyperglycemia (high blood glucose), there is a change in the role of insulin-producing cells in the pancreas (beta), which prevent this hormone is produced or released in sufficient quantity or that prevents it from exercising its role properly, this is called resistance to insulin action.
The DMG is found in people with risk factors for developing type 2 diabetes mellitus and has been considered as a state prior to further development of the disease within a few years after pregnancy, regardless of having normal blood glucose levels immediately at the end of it.
Overview:
* The DMG is a form of presentation of diabetes mellitus accounting for 40 to 50% of all diabetes cases seen during pregnancy, in the service of our hospital endocrinology and its presentation in the general population will depend on the community studied and the risk factors present. These backgrounds are divided into 2, low risk and high risk in the first data we have:
* Maternal age equal to or less than 25 years
* Caucasian race.
* Negative family history of diabetes.
* Weight maternal presentational normal.
* Normal obstetric history.
Moreover, risk factors for developing high-DMG are:
* Maternal age older than 26 years.
* Race Black or Latino.
* Presentational overweight or obese.
* Family history of diabetes in first or second degree (parents or grandparents).
* Multiparty
* Ominous Obstetric History (previous abortions of unknown cause, macrocosmic infants of 4 kg or more intrauterine fetal deaths or deaths, etc.).
So that Latino population as ours, their incidence is between 7-17%. And the more risk factors are taken prior to pregnancy will have higher risk of developing the disease, which in the absence of maternal symptoms for diagnosis must be sought in any patient in intentionally pregnant with two or more risk factors mentioned above.
