Publication: Reducción de la aparición de diabetes mellitus gestacional por adherencia por adherencia a la dieta mediterránea
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2018-04-05
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Universidad Complutense de Madrid
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Abstract
El objetivo del proyecto aquí presentado es el de evaluar los criterios diagnósticos antiguos y actuales de la diabetes mellitus gestacional (DMG) y determinar el impacto potencial de su empleo en el periodo postparto; valorar el efecto del tratamiento de la DMG sobre las complicaciones materno fetales derivadas del exceso de peso; investigar posibles estrategias para prevenir la DMG; y examinar el efecto de adoptar una dieta mediterránea (DietMed) en la incidencia de la DMG. Para ello se condujeron, entre 2007-2016, cuatro estudios prospectivos diferentes y una revisión, utilizando datos disponibles en el Departamento de Análisis Clínicos, Departamento de Obstetricia y la Unidad especializada de Diabetes Gestacional del Servicio de Endocrinología y Nutrición del Hospital Clínico San Carlos de Madrid. ESTUDIO 1. El impacto de cambiar al método de un paso para el diagnóstico de DMG sobre las tasas de asistencia al cribado postparto y la presencia de desórdenes glucémicos en mujeres que tuvieron DMG. El Estudio Gestacional San Carlos. Objetivos: Comparar las tasas de desorden glucémico postparto (DGp), basado en la combinación de glucosa basal plasmática (GBP) -HbA1c, en mujeres que fueron diagnosticadas con diabetes mellitus gestacional (DMG) por los criterios de Carpenter-Coustan (CyCc) y los criterios del International Association of Diabetes and Pregnancy Study Groups (IADPSGc)...
The aim of the project hereby presented is to assess the former and present criteria used in gestational diabetes mellitus (GDM) diagnosis, determining the potential impact of their use in the postpartum period; evaluate the effect of GDM treatment on maternal and neonatal outcomes in women with high body mass index (BMI); research possible approaches to preventing GDM; and examine the effect of adopting a Mediterranean diet in GDM incidence. Four different prospective studies and one mini review were conducted between 2007-2016, collecting data available from the Central Laboratory, Department of Obstetrics and the specialized Gestational Diabetes Unit of the Endocrinology and Nutrition Department of the Hospital Clínico San Carlos. STUDY 1. The impact of switching to the one-step method for GDM diagnosis on the rates of postpartum screening attendance and glucose disorder in women with prior GDM. The San Carlos Gestational Study Aims: To compare rates of FPG-HbA1C-based postpartum-glucose disorder (PGD) of women with prior gestational diabetes mellitus (GDM) diagnosed by Carpenter-Coustan criteria (CCc) versus International Association of Diabetes and Pregnancy Study Groups criteria (IADPSGc)...
The aim of the project hereby presented is to assess the former and present criteria used in gestational diabetes mellitus (GDM) diagnosis, determining the potential impact of their use in the postpartum period; evaluate the effect of GDM treatment on maternal and neonatal outcomes in women with high body mass index (BMI); research possible approaches to preventing GDM; and examine the effect of adopting a Mediterranean diet in GDM incidence. Four different prospective studies and one mini review were conducted between 2007-2016, collecting data available from the Central Laboratory, Department of Obstetrics and the specialized Gestational Diabetes Unit of the Endocrinology and Nutrition Department of the Hospital Clínico San Carlos. STUDY 1. The impact of switching to the one-step method for GDM diagnosis on the rates of postpartum screening attendance and glucose disorder in women with prior GDM. The San Carlos Gestational Study Aims: To compare rates of FPG-HbA1C-based postpartum-glucose disorder (PGD) of women with prior gestational diabetes mellitus (GDM) diagnosed by Carpenter-Coustan criteria (CCc) versus International Association of Diabetes and Pregnancy Study Groups criteria (IADPSGc)...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 27-03-2017