Gestational insulin-compensated diabetes

• Main Authors: Emilio Yaser Pando Hernández, Carlos Alfredo Miló Valdés, Raudel Llanio González, Migdalia de las Mercedes Peña Abrahan, Eddy Llobany Gonzalez Ungo
• Format: Article
• Language: Spanish
• Published: Universidad de Ciencias Médicas de Pinar del Río 2019-05-01
• Series: Universidad Médica Pinareña
• Subjects: diabetes gestacional; insulina; morbilidad; atención perinatal.
• Online Access: http://www.revgaleno.sld.cu/index.php/ump/article/view/340

Introduction: the population incidence of gestational diabetes varies approximately between 3 and 10 %, according to ethnic groups, diagnostic criteria and population areas studied and is associated with a higher frequency of maternal and perinatal complications. Objective: to identify the clinical and epidemiological characteristics of patients with insulin-compensated gestational diabetes. Method: a prospective, analytical and cross-sectional research was carried out at the “Abel Santamaría Cuadrado” General Teaching Hospital in Pinar del Río during the 2016 - 2018 period. The universe was made up of all the pregnant women treated at the reference institution in the period studied. (N=5967). The sample consisted of a Study Group of 134 pregnant women with insulin-compensated gestational diabetes and the Control Group of 204 diet-compensated diabetics who had their births in the same period. Results: the group of 20-24 years of age and the diagnoses of gestational diabetes between 19-23 weeks were significant. Predominantly in pregnant women with insulin-compensated gestational diabetes: the normal weights and those with adequate weight gain. The most frequent maternal morbidity was bacterial vaginosis. Conclusions: insulin-compensated gestational diabetes is not an adverse risk factor for the development of maternal and fetal complications.