Clase DBT Alumnos Hospital de Clinicas

Diabétes pregestacional y gestacional Iº Cátedra de Obstetricia Hospital de Clínicas “José de San Martín” Universidad de Buenos Aires Argentina

DEFINICIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DG: es un grupo heterogéneo de pacientes.

Incidencia ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],30 % de la Población ,[object Object],[object Object]

Etiopatogenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Factores de Riesgo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],Si es en el 1º trimestre, considerar a la paciente DBT previa.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],American Diabetes Association 2011

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],Consenso de la SAD, Octubre 2008

DIABETES GESTACIONAL** Descarta DBT Gestacional 1º Consulta Glucemia en Ayunas ≥ 100 mg/dl ≤ 100 mg/dl REPETIR ≥ 100 mg/dl < 100 mg/dl 24-28 sem. PTOG* PTOG < 140 mg/dl ≥ 140 mg/dl < 140 mg/dl Sin Factores de Riesgo 31-33 sem. PTOG < 140 mg/dl Con Factores de Riesgo

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complicaciones asociadas con la diabetes en el embarazo

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pacientes con DBT Pregestacional (Vasculopáticas)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],GANANCIA DE PESO APORTE (KG) (Kcal/Kg/d) 12.5 a 18 35 11 a 16 35 7 a 11 25-35 7 20-25 1800 a 2200 Kcal/dia

ALMUERZO CENA G L U C E M I A Desayuno Merienda Colación Colación

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Insulina ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CONTROL METABÓLICO ADECUADO

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Primer Trimestre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Segundo trimestre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tercer trimestre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],Eco Doppler Fetal 24 Monitoreo Fetal 32-34 Test de Manning 28 Movimientos Fetales 26-28 CONTROL A partir de la semana

Puerperio ,[object Object],[object Object],[object Object],[object Object],[object Object],LA MITAD DE LAS PACIENTES CON DIABETES GESTACIONAL DESARROLLARA DIABETES TIPO 2 EN LOS PROXIMOS 10 AÑOS

Muchas gracias ,[object Object],[object Object],[object Object],[object Object]

Clase DBT Alumnos Hospital de Clinicas

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