Diabetes mellitus gestacional: una aproximación a los conceptos actuales sobre estrategias diagnósticas

Universidad Nacional de Colombia. Facultad de Medicina. Revista

Saavedra-Ortega, Diego Rene¹  Frías-Ordoñez, Juan Sebastián²  Pérez-Gualdrón, Clara Eugenia² 

[1] Universidad Militar Nueva Granada, Bogotá, Colombia;Universidad Nacional de Colombia, Bogotá, Colombia

关键词: Diabetes;    Gestational;    Diagnostic Tests;    Routine;    Pregnancy;    Diagnosis (MeSH)..;   

DOI  :  10.15446/revfacmed.v64n4.54569

学科分类：医学（综合）

来源: Universidad Nacional de Colombia * Facultad de Medicina

【 摘 要 】

Gestational diabetes mellitus (GDM) is a state of carbohydrate intolerance that is first recognized during pregnancy. The initial criteria for diagnosis were established more than 50 years ago by O’Sullivan & Mahan, and since then, some modifications have been made. Currently, diagnosis considers two methods: the one-step approach, consisting of an oral glucose tolerance test (OGTT) for 2 hours with 75g of glucose, and the two-step approach, which involves an initial screening test with 50g of glucose and OGTT with 100g of glucose if screening is positive. Both diagnostic approaches have been justified by expert consensus; however, an absolute concept about the method to be applied has not been established yet. To select a method, the clinician must take into account various factors. This paper proposes a historical overview and the presentation of the current status of GDM diagnosis.

【 授权许可】

CC BY