Uso de Hipoglicemiantes orales en Diabetes Gestacional
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Ppt final rota Endocrino, Residencia Med.Interna - Uso de Hipoglicemiantes orales en Diabetes Gestacional
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Uso de Hipoglicemiantes orales en Diabetes Gestacional
- 1. Patricio Sánchez Silva, Julián Vega Adauy. Residentes MI Rotación Endocrinología VIERNES 03 SEPTIEMBRE 2010 HIPOGLICEMIANTES ORALES Y DIABETES GESTACIONAL
- 8. Freinkel N. Pregnancy and progeny. Banting Lecture. Diabetes. 1980 CAMBIOS HORMONALES DIABETOGENICOS DURANTE EL EMBARAZO
- 11. CRITERIOS DIAGNÓSTICOS DE DIABETES GESTACIONAL
- 14. INICIO DE INSULINOTERAPIA Gli Ay >95 Gli pp 2hs > 120 Gli Ay > 105 Gli pp 1hs 155 Gli pp 1hs 130 Gli Ay >105 Gli pp 2hs > 200 Gli pp 2hs > 130* American College of Obstetrics and Gynecology ADA CEDIP
- 15. CRITERIOS INICIO DE TRATAMIENTO EN DIABETES GESTACIONAL
- 19. HAPO TRIAL NEJM 2008
- 20. HAPO TRIAL NEJM 2008
- 21. HAPO TRIAL NEJM 2008
- 22. HAPO TRIAL NEJM 2008
- 28. a. Not all pharmacotherapy options are FDA approved or endorsed by the American Diabetes Association
- 34. META-ANALISIS (en prensa) más importante del área
- 35. TRABAJOS PUNTALES: Rowan et al: METFORMINA , NEJM 2008 Langer et al: GLIBENCLAMIDA , NEJM 2000
- 37. Dhulkotia JS. AM J Obstet Gynecol 2010. In Press CONTROL GLICÉMICO AYUNA CON HO NO INFERIOR A INSULINA METFORMINA GLYBURIDE
- 38. CONTROL GLICÉMICO PP CON HO NO INFERIOR A INSULINA Dhulkotia JS. AM J Obstet Gynecol 2010. In Press
- 39. HIPOGLICEMIAS NEONATALES INSULINA vs HO
- 40. PESO AL NACER INSULINA vs HO
- 41. INSULINA vs HO PESO AEG (Adecuado edad gestacional)
- 42. INSULINA VS HO EN TASAS DE CESÁREAS
- 43. 2 TRABAJOS PUNTALES NEJM 2008 NEJM 2000
- 47. RESULTADOS METFORMINA VERSUS INSULINA
- 48. EFECTOS ADVERSOS METFORMINA VERSUS INSULINA
- 50. 2 TRABAJOS PUNTALES NEJM 2008 NEJM 2000
- 81. CONCLUSIONES Ver documento adjunto CONCLUSIONES.pdf
- 82. HIPOGLICEMIANTES ORALES Y DIABETES GESTACIONAL Patricio Sánchez Silva, Julián Vega Adauy. Residentes MI Rotación Endocrinología VIERNES 03 SEPTIEMBRE 2010 MUCHAS GRACIAS POR SU ATENCIÓN
Notas del editor
- Analytic framework.Key questions: 1) Does screening for gestational diabetes lead to a reduction in perinatal morbidity and mortality for mother or infant? A) After 24 weeks' gestation? B) During the first trimester and up to 24 weeks' gestation? 2) What are the sensitivities, specificities, reliabilities, and yields of current screening tests for gestational diabetes? A) After 24 weeks' gestation? B) During the first trimester and up to 24 weeks' gestation? 3) Does treatment of gestational diabetes lead to reduction in perinatal morbidity and mortality for mother or infant? A) After 24 weeks' gestation? B) During the first trimester and up to 24 weeks' gestation? 4) What are the adverse effects associated with screening for gestational diabetes? 5) What are the adverse effects associated with treatment of gestational diabetes? GDM = gestational diabetes mellitus; NICU = neonatal intensive care unit.
- Glucose categories are defined as follows: fasting plasma glucose level — category 1, less than 75 mg per deciliter (4.2 mmol per liter); category 2, 75 to 79 mg per deciliter (4.2 to 4.4 mmol per liter); category 3, 80 to 84 mg per deciliter (4.5 to 4.7 mmol per liter); category 4, 85 to 89 mg per deciliter (4.8 to 4.9 mmol per liter); category 5, 90 to 94 mg per deciliter (5.0 to 5.2 mmol per liter); category 6, 95 to 99 mg per deciliter (5.3 to 5.5 mmol per liter); and category 7, 100 mg per deciliter (5.6 mmol per liter) or more; 1-hour plasma glucose level — category 1, 105 mg per deciliter (5.8 mmol per liter) or less; category 2, 106 to 132 mg per deciliter (5.9 to 7.3 mmol per liter); category 3, 133 to 155 mg per deciliter (7.4 to 8.6 mmol per liter); category 4, 156 to 171 mg per deciliter (8.7 to 9.5 mmol per liter); category 5, 172 to 193 mg per deciliter (9.6 to 10.7 mmol per liter); category 6, 194 to 211 mg per deciliter (10.8 to 11.7 mmol per liter); and category 7, 212 mg per deciliter (11.8 mmol per liter) or more; and 2-hr plasma glucose level — category 1, 90 mg per deciliter (5.0 mmol per liter) or less; category 2, 91 to 108 mg per deciliter (5.1 to 6.0 mmol per liter); category 3, 109 to 125 mg per deciliter (6.1 to 6.9 mmol per liter); category 4, 126 to 139 mg per deciliter (7.0 to 7.7 mmol per liter); category 5, 140 to 157 mg per deciliter (7.8 to 8.7 mmol per liter); category 6, 158 to 177 mg per deciliter (8.8 to 9.8 mmol per liter); and category 7, 178 mg per deciliter (9.9 mmol per liter) or more.
- Glucose categories are defined as follows: fasting plasma glucose level — category 1, less than 75 mg per deciliter (4.2 mmol per liter); category 2, 75 to 79 mg per deciliter (4.2 to 4.4 mmol per liter); category 3, 80 to 84 mg per deciliter (4.5 to 4.7 mmol per liter); category 4, 85 to 89 mg per deciliter (4.8 to 4.9 mmol per liter); category 5, 90 to 94 mg per deciliter (5.0 to 5.2 mmol per liter); category 6, 95 to 99 mg per deciliter (5.3 to 5.5 mmol per liter); and category 7, 100 mg per deciliter (5.6 mmol per liter) or more; 1-hour plasma glucose level — category 1, 105 mg per deciliter (5.8 mmol per liter) or less; category 2, 106 to 132 mg per deciliter (5.9 to 7.3 mmol per liter); category 3, 133 to 155 mg per deciliter (7.4 to 8.6 mmol per liter); category 4, 156 to 171 mg per deciliter (8.7 to 9.5 mmol per liter); category 5, 172 to 193 mg per deciliter (9.6 to 10.7 mmol per liter); category 6, 194 to 211 mg per deciliter (10.8 to 11.7 mmol per liter); and category 7, 212 mg per deciliter (11.8 mmol per liter) or more; and 2-hr plasma glucose level — category 1, 90 mg per deciliter (5.0 mmol per liter) or less; category 2, 91 to 108 mg per deciliter (5.1 to 6.0 mmol per liter); category 3, 109 to 125 mg per deciliter (6.1 to 6.9 mmol per liter); category 4, 126 to 139 mg per deciliter (7.0 to 7.7 mmol per liter); category 5, 140 to 157 mg per deciliter (7.8 to 8.7 mmol per liter); category 6, 158 to 177 mg per deciliter (8.8 to 9.8 mmol per liter); and category 7, 178 mg per deciliter (9.9 mmol per liter) or more.
- Glucose categories are defined as follows: fasting plasma glucose level — category 1, less than 75 mg per deciliter (4.2 mmol per liter); category 2, 75 to 79 mg per deciliter (4.2 to 4.4 mmol per liter); category 3, 80 to 84 mg per deciliter (4.5 to 4.7 mmol per liter); category 4, 85 to 89 mg per deciliter (4.8 to 4.9 mmol per liter); category 5, 90 to 94 mg per deciliter (5.0 to 5.2 mmol per liter); category 6, 95 to 99 mg per deciliter (5.3 to 5.5 mmol per liter); and category 7, 100 mg per deciliter (5.6 mmol per liter) or more; 1-hour plasma glucose level — category 1, 105 mg per deciliter (5.8 mmol per liter) or less; category 2, 106 to 132 mg per deciliter (5.9 to 7.3 mmol per liter); category 3, 133 to 155 mg per deciliter (7.4 to 8.6 mmol per liter); category 4, 156 to 171 mg per deciliter (8.7 to 9.5 mmol per liter); category 5, 172 to 193 mg per deciliter (9.6 to 10.7 mmol per liter); category 6, 194 to 211 mg per deciliter (10.8 to 11.7 mmol per liter); and category 7, 212 mg per deciliter (11.8 mmol per liter) or more; and 2-hr plasma glucose level — category 1, 90 mg per deciliter (5.0 mmol per liter) or less; category 2, 91 to 108 mg per deciliter (5.1 to 6.0 mmol per liter); category 3, 109 to 125 mg per deciliter (6.1 to 6.9 mmol per liter); category 4, 126 to 139 mg per deciliter (7.0 to 7.7 mmol per liter); category 5, 140 to 157 mg per deciliter (7.8 to 8.7 mmol per liter); category 6, 158 to 177 mg per deciliter (8.8 to 9.8 mmol per liter); and category 7, 178 mg per deciliter (9.9 mmol per liter) or more.
- Glucose categories are defined as follows: fasting plasma glucose level — category 1, less than 75 mg per deciliter (4.2 mmol per liter); category 2, 75 to 79 mg per deciliter (4.2 to 4.4 mmol per liter); category 3, 80 to 84 mg per deciliter (4.5 to 4.7 mmol per liter); category 4, 85 to 89 mg per deciliter (4.8 to 4.9 mmol per liter); category 5, 90 to 94 mg per deciliter (5.0 to 5.2 mmol per liter); category 6, 95 to 99 mg per deciliter (5.3 to 5.5 mmol per liter); and category 7, 100 mg per deciliter (5.6 mmol per liter) or more; 1-hour plasma glucose level — category 1, 105 mg per deciliter (5.8 mmol per liter) or less; category 2, 106 to 132 mg per deciliter (5.9 to 7.3 mmol per liter); category 3, 133 to 155 mg per deciliter (7.4 to 8.6 mmol per liter); category 4, 156 to 171 mg per deciliter (8.7 to 9.5 mmol per liter); category 5, 172 to 193 mg per deciliter (9.6 to 10.7 mmol per liter); category 6, 194 to 211 mg per deciliter (10.8 to 11.7 mmol per liter); and category 7, 212 mg per deciliter (11.8 mmol per liter) or more; and 2-hr plasma glucose level — category 1, 90 mg per deciliter (5.0 mmol per liter) or less; category 2, 91 to 108 mg per deciliter (5.1 to 6.0 mmol per liter); category 3, 109 to 125 mg per deciliter (6.1 to 6.9 mmol per liter); category 4, 126 to 139 mg per deciliter (7.0 to 7.7 mmol per liter); category 5, 140 to 157 mg per deciliter (7.8 to 8.7 mmol per liter); category 6, 158 to 177 mg per deciliter (8.8 to 9.8 mmol per liter); and category 7, 178 mg per deciliter (9.9 mmol per liter) or more.