Obesity incidence in diabetic pregnant women with or without use of drug therapy
DOI:
https://doi.org/10.33448/rsd-v10i8.17062Keywords:
Gestational diabetes; Obesity; Insulin; Oral Hypoglycemic; Diet.Abstract
In this work, the prevalence of obesity among two groups of pregnant women with diabetes will be studied, separating
between those who need drug therapy and those who achieve good control with non-drug management. Gestational
diabetes is the intolerance to carbohydrates first diagnosed during pregnancy. It is the most common metabolic problem during this period. Being, obesity one of the main risk factors for the development of this pathology, which generates innumerable harms for both the patient and the fetus. When diabetes is diagnosed, may be through fasting glucose numbers or by 75g OGTT test, one can obtain an adverse pregnancy outcome, requiring blood glucose regulation. For this, different strategies can be employed such as non-medication with physical exercise and balanced diet or medication with the use of oral hypoglycemic agents or insulin.
References
Alves, P., Malheiro, M. F., Gomes, J. C., Ferraz, T., & Montenegro, N. (2019). Risks of Maternal Obesity in Pregnancy: A Case-control Study in a Portuguese Obstetrical Population. Revista Brasileira de Ginecologia e Obstetricia, 41(12), 682–687. https://doi.org/10.1055/s-0039-3400455
Baz, B., Riveline, J.-P., & Gautier, J.-F. (2016). Endocrinology Of Pregnancy: Gestational diabetes mellitus: definition, aetiological and clinical aspects. European Journal of Endocrinology, 174(2), R43–R51. https://doi.org/10.1530/EJE-15-0378
Carneiro, J. R. I., Braga, F. O., Cabizuca, C. A., Abi-Abib, R. C., Cobas, R. A., & Gomes, M. B. (2014). Gestação e obesidade: um problema emergente. Revista Hospital Universitário Pedro Ernesto, 13(3). https://doi.org/10.12957/rhupe.2014.12130
Chen, P., Wang, S., Ji, J., Ge, A., Chen, C., Zhu, Y., Xie, N., & Wang, Y. (2015). Risk Factors and Management of Gestational Diabetes. Cell Biochemistry and Biophysics, 71(2), 689–694. https://doi.org/10.1007/s12013-014-0248-2
Cheng, Y. W., & Caughey, A. B. (2008). Gestational diabetes: diagnosis and management. Journal of Perinatology, 28(10), 657–664. https://doi.org/10.1038/jp.2008.62
Coustan, D. R. (2013). Gestational Diabetes Mellitus. Clinical Chemistry, 59(9), 1310–1321. https://doi.org/10.1373/clinchem.2013.203331
Di Biase, N., Balducci, S., Lencioni, C., Bertolotto, A., Tumminia, A., Dodesini, A. R., Pintaudi, B., Marcone, T., Vitacolonna, E., & Napoli, A. (2019). Review of general suggestions on physical activity to prevent and treat gestational and pre-existing diabetes during pregnancy and in postpartum. Nutrition, Metabolism and Cardiovascular Diseases, 29(2), 115–126. https://doi.org/10.1016/j.numecd.2018.10.013
Ferreira, L. A. de P., Piccinato, C. de A., Cordioli, E., & Zlotni1, E. (2019). Índice De Massa Corporal Pré-Gestacional, Ganho De Peso Na Gestação E Resultado Perinatal: Estudo Descritivo Retrospectivo. Hospital Israelita Albert Einstein, São Paulo, SP, Brasil, 17(2), 1–16. https://doi.org/10.31744/einstein
Julia, A., Souza, D., Rocha, E., Morelli, F., Lyrio, L., & Jardim, M. (2017). Diabetes Mellitus Gestacional E Pré-Gestacional. Revista Cadernos de Medicina, 02(3), 40–47.
Koning, S. H., Hoogenberg, K., Lutgers, H. L., van den Berg, P. P., & Wolffenbuttel, B. H. R. (2016). Gestational Diabetes Mellitus:current knowledge and unmet needs. Journal of Diabetes, 8(6), 770–781. https://doi.org/10.1111/1753-0407.12422
Lende, M., & Rijhsinghani, A. (2020). Gestational Diabetes: Overview with Emphasis on Medical Management. International Journal of Environmental Research and Public Health, 17(24), 9573. https://doi.org/10.3390/ijerph17249573
Maganha, C. A., Abrão, K. C., & Zugaib, M. (2004). Tratamento do diabetes melito gestacional baseado em achados ultra-sonográficos. Revista Da Associação Médica Brasileira, 50(3), 235–236. https://doi.org/10.1590/s0104-42302004000300009
Menicatti M., Fregonesi C. E. P. T. (2006) Diabetes Gestacional: Aspectos fisiopatológicos e tratamento. Arq. Ciênc. Saúde Unipar, 10(2): 105-111.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.
Simon, C. Y., Marques, M. C. C., & Farhat, H. L. (2013). Glicemia de jejum do primeiro trimestre e fatores de risco de gestantes com diagnóstico de diabetes melito gestacional. Revista Brasileira de Ginecologia e Obstetricia, 35(11), 511–515. https://doi.org/10.1590/S0100-72032013001100006
Sociedade Brasileira de Diabetes. (2015). Diabetes mellitus gestacional: diagnóstico, tratamento e acompanhamento pós-gestação. Diretrizes Da Sociedade Brasileira de Diabetes, 192–197.
Sociedade Brasileira de Diabetes. (2020). Diretrizes da Sociedade Brasileira de Diabetes 2019-2020.
Souza, M. L. R. De, Silva, R. R. E., Silva, T. R. E., Oliveira, L. C. De, Dienstmann, G., Nascimento, I. B. Do, & Silva, J. C. (2019). Factors Associated with the Need for Insulin as a Complementary Treatment to Metformin in Gestational Diabetes Mellitus. Revista Brasileira de Ginecologia e Obstetricia, 41(12), 697–702. https://doi.org/10.1055/s-0039-1700796
Spaight, C., Gross, J., Horsch, A., & Puder, J. J. (2016). Gestational Diabetes Mellitus. Endocrine Development, 163–178. https://doi.org/10.1159/000439413
Zheng, J., Wang, H., & Ren, M. (2017). Influence of exercise intervention on gestational diabetes mellitus: a systematic review and meta-analysis. Journal of Endocrinological Investigation, 40(10), 1027–1033. https://doi.org/10.1007/s40618-017-0673-3
Weinert, L. S., Silveiro, S. P., Oppermann, M. L., Salazar, C. C., Simionato, B. M., Siebeneichler, A., & Reichelt, A. J. (2011). Diabetes gestacional: um algoritmo de tratamento multidisciplinar. Arquivos Brasileiros de Endocrinologia & Metabologia, 55(7), 435–445. https://doi.org/10.1590/S0004-27302011000700002
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Isabela Resende; Adriano Luiz Possobon; Leticia Frare; Eron Celant Espindola; Giuliana Medeiros
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.