RECOMENDACIONES PARA EL MANEJO DE LAS PACIENTES CON DIABETES PREGESTACIONAL

Pregestational diabetes mellitus impairs development during gestation and is associated with maternal and fetal-neonatal complications. Although a few years ago most of the patients with pregestational diabetes were type 1 diabetics, the prevalence of women with type 2 diabetes in reproductive age has increased, associated with an increase in obesity. Patients with poorly controlled pregestational diabetes have a higher risk of complications from the onset to the end of pregnancy. Adequate metabolic control, proper nutritional status, and treatment of maternal complications prevent complications or reduce their severity. For this reason, pregnancy programming is essential to prevent damage in the first weeks of gestation. In addition, rigorous clinical follow-up is required throughout pregnancy. In this context and through the study of scientific evidences and related studies, the Diabetes and Pregnancy Committee propose these recommendations for women with pregestational diabetes.