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Diabetes in pregnancy: special care in feeding

08/17/2016

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

 

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Learn more about gestational diabetes, the problems it can cause and how to prevent the problem.

iSaúde Bahia - What are the main care that a pregnant woman with diabetes should be careful?

Dr. Ana Claudia Ramalho -. She should keep glucose levels within the target, ie, before the meal up to 90 mg / dl two hours after meal up to 120mg / dl. Do not gain too much weight. Maintain physical activity if you have no contraindication.

ISB - What problems diabetic pregnant patient have?

Dr. Ana Claudia Ramalho -. The biggest problem is for the baby. For pregnant women, it may be worsening or onset of diabetic retinopathy.

ISB - What is self-monitoring blood glucose?

Dr. Ana Claudia Ramalho. - Measuring blood glucose - blood sugar.

ISB - What is gestational diabetes?

Dr. Ana Claudia Ramalho -. This is the diabetes diagnosed during pregnancy. Unlike diabetic who becomes pregnant.

ISB - What are the symptoms?

Dr. Ana Claudia Ramalho -. Overall, it has no symptoms. It is diagnosed in routine examinations during pregnancy.

ISB - How is it diagnosed?

Dra. Ana Claudia Ramalho - Fasting glucose> 92mg / dl or test oral glucose tolerance 75 grams of glucose with 1 h> 180 and 2 pm> 153mg / dl.

ISB - Why does it occur?

Dr. Ana Claudia Ramalho. - For the second trimester of pregnancy increases the production of progesterone and human placental lactogen which has the opposite effect to insulin, increasing insulin resistance.

ISB - Some women are more prone to gestational diabetes?

Dr. Ana Claudia Ramalho. - Obese, over 40 with a family history of diabetes.

ISB - The care of this patient are the same as the pregnant woman who is already diabetic?

Dra. Ana Claudia Ramalho - Yes

ISB - There is how to prevent gestational diabetes?

Dr. Ana Claudia Ramalho. - Avoid very weight gain and physical activity if there is no contraindication.

 ISB - who had gestational diabetes run the risk of becoming diabetic? How to avoid the problem?

 Dr. Ana Claudia Ramalho - Yes Six weeks after delivery reevaluated this pregnant: It may be normal or have an answer to diabetes tolerance test. If you are regular, it is a risk factor for developing diabetes

ISB - A diabetic mother or had gestational diabetes can breastfeed normally?

Dra. Ana Claudia Ramalho - Yes

ISB - any special care is necessary at the time of delivery, in both cases?

Dra. Ana Claudia Ramalho - The delivery should preferably be caesarean, the first morning; all programmed.

ISB - How should care for the baby after birth?

Dra. Ana Claudia Ramalho - glycemic rating, as it can have hypoglycemia, hypocalcemia neonatal jaundice.

ISB - What problems the baby diabetic mother or had gestational diabetes may have?

Dr. Ana Claudia Ramalho -. You can be born macrosomic> 4 kg

have hypoglycemia

Having neonatal jaundice

Having hypocalcemia

In such cases, they should go to the neonatal ICU

 

Source: iBahia

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