Persistência hiperglicêmica no pós parto / Postpartum hyperglycemic persistence

Sersie Lessa Antunes Costa Almeida, Bruna Aurich Kunzendorff, Carolina de Paula Motté, Dara Campos de Oliveira, Fernanda Caetano Solano Oliveira, Gabriela Honorato de Oliveira, Gabriela Ourivio Faria, Júlia Brambilla Casteletti, Larissa Duarte Peixoto de Assis, Marcella Vieira Franco Geraldo, Maria Eduarda Mendonça Lisbôa

Abstract


Introdução: analisar a persistência de hiperglicemia no pós parto em pacientes com histórico de diabetes mellitus gestacional. Metodologia:  Revisão sistemática no Pubmed e Scopus, usando ensaios clínicos randomizados, dos últimos 10 anos (Pubmed), 20 anos (Scopus) em inglês. Com descritores: Post partum period AND Diabetes mellitus, gestational AND Hyperglicemia e Diabetes AND Mellitus AND Gestation AND Puerperium AND Hyperglicemia. Resultados: Os estudos demonstraram a importância de se utilizar mais de um método diagnóstico para DMG. As medidas não farmacológicas de mudanças de estilo de vida se mostram suficientes na maioria das pacientes. Discussão: Outros estudos levantaram questões como a necessidade de utilização de mais de um teste para diagnosticar tais condições patológicas, níveis elevados de proteína C reativa, hiperglicemia gestacional, níveis elevados de triglicerídeos, fatores étnicos, histórico familiar, tratamento e ganho excessivo de peso, sendo alguns consoantes e outros dissonantes em relação aos resultados dos estudos selecionados pelo presente artigo. Conclusão: Faz-se necessário uma padronização de um diagnóstico eficaz e propostas de intervenção com melhor evolução para a paciente, além de realizar avaliação individual, nos quesitos ambientais étnicos, história pregressa do paciente e histórico familiar da doença, a fim de predizer as suas chances de cursar com doença gestacional.

 

 


Keywords


Puerpério, Diabetes mellitus gestacional, Hiperglicemia .

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DOI: https://doi.org/10.34117/bjdv7n7-078

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