Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud

Background: Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition. Aim: To estimate the adherence of the gui...

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Autores principales:	Tuesca Molina,Rafael, Acosta Vergara,Tania, Domínguez Lozano,Brayan, Ricaurte,Carlos, Mendoza Charris,Humberto, Flórez-Lozano,Karen, Florez-García,Víctor
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Colombia Diabetes, Gestational Guideline Mass Screening Practice Guideline
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000200190
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spelling	oai:scielo:S0034-988720190002001902019-04-29Diabetes gestacional: implementación de una guía para su detección en la atención primaria de saludTuesca Molina,RafaelAcosta Vergara,TaniaDomínguez Lozano,BrayanRicaurte,CarlosMendoza Charris,HumbertoFlórez-Lozano,KarenFlorez-García,Víctor Colombia Diabetes, Gestational Guideline Mass Screening Practice Guideline Background: Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition. Aim: To estimate the adherence of the guide in primary care centers. Material and Methods: A Cross-sectional study of pregnant women suspected of having gestational diabetes. Pregnant women were classified according to the week of admission to the prenatal control program: < week 24 or later. Women with a fasting blood glucose over 92 mg/dL and under 126 mg/dL or with some positive result to the oral glucose tolerance test were included. Results: Nine percent (1,887 women) of 21,699 registries of pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries with complete data were analyzed. Sixty nine entered the program at less than 24 weeks of pregnancy and 71% had had a fasting blood glucose measured in the first control. In 69.2% of these women, criteria for gestational diabetes was met. A glucose tolerance test was suggested to women with a blood glucose below 92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for gestational diabetes. Among the 498 women who entered the program after 24 weeks of gestation, 68% met the criteria for gestational diabetes with the fasting blood glucose levels. In 90 women, a glucose tolerance test was performed and 80% met the criteria for gestational diabetes. Conclusions: An adequate adherence to guidelines favors the detection of pregnant women with gestational diabetes.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.2 20192019-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000200190es10.4067/s0034-98872019000200190
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Colombia Diabetes, Gestational Guideline Mass Screening Practice Guideline
spellingShingle	Colombia Diabetes, Gestational Guideline Mass Screening Practice Guideline Tuesca Molina,Rafael Acosta Vergara,Tania Domínguez Lozano,Brayan Ricaurte,Carlos Mendoza Charris,Humberto Flórez-Lozano,Karen Florez-García,Víctor Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
description	Background: Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition. Aim: To estimate the adherence of the guide in primary care centers. Material and Methods: A Cross-sectional study of pregnant women suspected of having gestational diabetes. Pregnant women were classified according to the week of admission to the prenatal control program: < week 24 or later. Women with a fasting blood glucose over 92 mg/dL and under 126 mg/dL or with some positive result to the oral glucose tolerance test were included. Results: Nine percent (1,887 women) of 21,699 registries of pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries with complete data were analyzed. Sixty nine entered the program at less than 24 weeks of pregnancy and 71% had had a fasting blood glucose measured in the first control. In 69.2% of these women, criteria for gestational diabetes was met. A glucose tolerance test was suggested to women with a blood glucose below 92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for gestational diabetes. Among the 498 women who entered the program after 24 weeks of gestation, 68% met the criteria for gestational diabetes with the fasting blood glucose levels. In 90 women, a glucose tolerance test was performed and 80% met the criteria for gestational diabetes. Conclusions: An adequate adherence to guidelines favors the detection of pregnant women with gestational diabetes.
author	Tuesca Molina,Rafael Acosta Vergara,Tania Domínguez Lozano,Brayan Ricaurte,Carlos Mendoza Charris,Humberto Flórez-Lozano,Karen Florez-García,Víctor
author_facet	Tuesca Molina,Rafael Acosta Vergara,Tania Domínguez Lozano,Brayan Ricaurte,Carlos Mendoza Charris,Humberto Flórez-Lozano,Karen Florez-García,Víctor
author_sort	Tuesca Molina,Rafael
title	Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
title_short	Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
title_full	Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
title_fullStr	Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
title_full_unstemmed	Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
title_sort	diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000200190
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Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud

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