Diabetes mellitus II (In Pregnancy)
Diabetes mellitus in pregnancy or often called gestational diabetes mellitus, diabetes is a disease that occurs in women who are pregnant mothers. The main symptoms of this disorder in principle the same as the main symptoms of diabetes, other diseases are frequent urination (polyuri), always feel thirsty (polydipsi), and often feel hungry (polyfagi). Only difference is the current state of the patient was pregnant. Unfortunately, the discovery of cases of gestational diabetes cases largely due to chance because the patient will not feel something strange about him other than pregnancy, and frequent urinary symptoms and many eat too common in normal pregnancy.
As with diabetes in general, the examination of blood sugar in a high value on fasting blood sugar levels and 2 hours after eating and when done checking sugar levels in urine (urine) also found a positive reaction. This examination can be repeated during the treatment with the drug antidiabetes to monitor blood sugar levels.
Actions that can be performed in patients with gestational diabetes, among other things continue prioritizing diabetes management diabetes, when blood sugar is too high can be done with hospitalization for insulin regulation of both intravenous and subcutaneous injections. So try on all pregnant patients to choose treatment with diabetes management is not reached a state when blood sugar levels are normal only injected with insulin. Other additional drugs with vitamins vitamins to maintain the condition of the patient's body.
That need to be considered in diabetes management of pregnant women are the caloric needs of pregnant women are not the same as a normal woman is even pregnant women suffering from diabetes. The number of calories to the diet = ideal body weight of pregnant women x (25-30) extra calories from 200 to 300 calories with 200 grams minimum details of carbohydrate and protein (1.5 - 2) g / kg ideal.
If on examination found the baby weight once the baby of induction needs to be done in week 36 to 38 to prevent the occurrence of complications during childbirth. This delivery should be within the strict supervision by obstetricians and specialists in internal medicine.
Normally after birth the blood sugar levels will return to normal, if not, it is necessary to continue providing oral antidiabetes until a certain time period.
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November 19, 2010 at 8:57 AM
Maybe this information can be useful, diabetes mellitus is characterized by recurrent or persistent hyperglycemia, and is diagnosed by demonstrating any one of the following:
* Fasting plasma glucose level ≥ 7.0 mmol/L (126 mg/dL).
* Plasma glucose ≥ 11.1 mmol/L (200 mg/dL) two hours after a 75 g oral glucose load as in a glucose tolerance test.(sildenafil)
* Symptoms of hyperglycemia and casual plasma glucose ≥ 11.1 mmol/L (200 mg/dL).
* Glycated hemoglobin (Hb A1C) ≥ 6.5%.