MATERNAL AND PERINATAL OUTCOME IN WOMEN WITH GESTATIONAL DIABETES MELLITUS

Dr. P. Sindhuja, Dr.Usha Nag, DR SriLakshmi

Abstract


Gestational Diabetes was defined as carbohydrate intolerance of variable severity with its onset or first recognition during pregnancy.

Ø Gestational diabetes mellitus should be diagnosed at any time in pregnancy if one or more of the following criteria are met:

Ø- fasting plasma glucose(92 -125 mg/dl) . Ø 1-hr plasma glucose(180 mg/dl) .

Ø2-hr plasma glucose (153 -199 mg/dl) following a 75g oral glucose load .

 

• The considerable effects on carbohydrate metabolism

particularly the lowered renal threshold for glucose and the

diminishing sensitivity to insulin as pregnancy advances render the

control of diabetes more difficult, so more insulin needed to

achieve metabolic control.

• Poor control increases the incidence of maternal and fetal

complications and is the single most important factor influencing

the outcome of pregnancy.


Keywords


Gestational Diabete, plasma glucose, pregnancy.

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