DIABETES GESTACIONAL

DEFINIDA COMO
1. Intolerancia a CHOS.
2. Durante el embarazo
3. Puede o no después del embarazo
ANATOMÍA DE
1. 1. Externos
  2. Internos
HISTOLOGÍA DE
1. Trompas
  1. 1. Mucosa
    2. Muscular
    3. Serosa
2. Útero
  1. 1. Endometrio
    2. Muscular
    3. Serosa
3. Ovarios
  1. 1. Médula
    2. Coteza
FISIOPATOLOGÍA
1. 1. Resistencia a insulina
  2. Glucosa
ETIOLOGÍA
1. De diversos factores
FACTORES DE RIESGO
3. Antecedentes de intolerancia a gluc.
4. > 20 kg
5. > 35 años
6. AHF
SIGNOS Y SÍNTOMAS
DIAGNÓSTICO
1. > 200 mg/ dl.
  1. 3 P´s
2. > 126 mg/dl
3. Curva de tolerancia 100g o 75g
DIAGNÓSTICO DIFERENCIAL
1. Diabetes Mellitus 1
2. Diabetes Mellitus 2
3. MODY
TRATAMIENTO
2. 1. NPH
    1. Lispro o Aspart
      1. 0.3 UI/Kg , 2/3 30 min. antes del desayuno y 1/3 30 min, antes de cena.
COMPLICACIONES
1. Aborto
2. Malformaciones congénitas
3. Macrosomía
4. Polihidramnios
5. DM

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