Fasting 126 mg / dl and 2-hour plasma glucose 140 mg / dl (8) the fourth Workshop Diabetes adopts slightly different values: fasting for 95 after load 1h 180 2h and 155 mg / dl (1).
Treatment
Initial treatment consists of diet for diabetes. Usually it is calculated with the same 30 to 32 Kcal / Kg limiting the amount of carbohydrates at 40% of total calories (7), and from the second quarter is added 300 Kcal / day (9).
Artificial sweeteners can be used sparingly (4). http://articleshubsite.com/article.php?id=1049279
If blood glucose levels did not remain £ 95 mg / dell or 2 hours postprandial £ 120 mg / dl, we should start insulin because oral hypoglycemic agents are contraindicated in pregnancy.
Generally scheme starts with the slow-acting insulin in the morning, and the initial dosage can be 0.2 U / kg / day.
As needed you can add more chopped daily insulin slowly and / or regular action
Besides the degree of glycolic control, fetal growth may also indicate http://www.imfaceplate.com/dahliaelliot/types-of-inhalation
the need for insulin therapy.
If the fetal abdominal circumference measured between 29 and 33 weeks gestation, is greater or equal to the 75th percentile, we must intensify the beginning of treatment with insulin (10).
Daily monitoring with capillary fasting and postprandial is of utmost importance particularly for those where insulin. The tapes of glycosuria are not indicated. The goal is to maintain fasting capillary glycerin £ 95 mg / dl and postprandial 2h £ 120 mg / dl. The number of bites per day will depend on the glycolic control of the patient.
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