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Current approaches in the treatment of diabetes in pregnancy
Kücük, Pinar ; Čečková, Martina (advisor) ; Vopršalová, Marie (referee)
PINAR KUCUK: Current approaches in the treatment of diabetes in pregnancy. (Diploma thesis) ABSTRACT The management of pregestational diabetes requires tight metabolic control to reduce maternal and perinatal morbidity and mortality. It has been suggested that type I diabetes is a disorder characterized by insulin deficiency and type II diabetes is characterized by insulin resistance. If patient is having type II diabetes, they require higher doses of insulin in pregnancy and limited use of oral hypoglycemic agents; moreover, both type I and type II diabetes mellitus appear to have a necessity of administering different doses of insulin in each trimester. Gestational diabetes mellitus (GDM) is characterized by glucose intolerance of variable severity that begins or is first diagnosed during pregnancy and which shares the same pathophysiology and clinical signs as diabetes mellitus type 2. As well as for a diabetic pregnancy, the therapeutic management of gestational diabetes mellitus must be instituted early and must be intensive. Risk factors for the development of GDM include obesity, older age, family history, previous history of GDM or poor obstetric outcomes, ethnicity, polycystic ovary syndrome and as more recently noted, hypertension. GDM may also be caused by genetic variation that predisposes women...
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Current approaches in the treatment of diabetes in pregnancy
Kücük, Pinar ; Čečková, Martina (advisor) ; Vopršalová, Marie (referee)
PINAR KUCUK: Current approaches in the treatment of diabetes in pregnancy. (Diploma thesis) ABSTRACT The management of pregestational diabetes requires tight metabolic control to reduce maternal and perinatal morbidity and mortality. It has been suggested that type I diabetes is a disorder characterized by insulin deficiency and type II diabetes is characterized by insulin resistance. If patient is having type II diabetes, they require higher doses of insulin in pregnancy and limited use of oral hypoglycemic agents; moreover, both type I and type II diabetes mellitus appear to have a necessity of administering different doses of insulin in each trimester. Gestational diabetes mellitus (GDM) is characterized by glucose intolerance of variable severity that begins or is first diagnosed during pregnancy and which shares the same pathophysiology and clinical signs as diabetes mellitus type 2. As well as for a diabetic pregnancy, the therapeutic management of gestational diabetes mellitus must be instituted early and must be intensive. Risk factors for the development of GDM include obesity, older age, family history, previous history of GDM or poor obstetric outcomes, ethnicity, polycystic ovary syndrome and as more recently noted, hypertension. GDM may also be caused by genetic variation that predisposes women...
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