Teslio

Excessive blood glucose control during pregnancy causes low birth weight

In gestational diabetes, bad is insufficient control over one. The first is associated with metabolic imbalances in the neonate, while the latter to the reción born underweight and possibly an increased risk of type 2 diabetes in childhood.

In 28 percent of women with gestational diabetes, a balanced diet and exercise are not enough to control blood glucose levels, so it uses insulin. As the diagnosis of diabetes is performed around the 24th week of pregnancy -in any case always before the 28-, the specialist has a quarter to apply the treatment; during this period factors such as insulin resistance and metabolic needs of the newborn change almost daily, so it is expected to be modified with some frequency insulin doses.

As indicated by Alfonso Street, an endocrinologist at the Hospital Clinico San Carlos , Madrid, "gestational diabetes involves a type of patient requiring a continuous contact with the medical team during 16 or 18 weeks last pregnancy. it is often superior to a weekly visit to tailor treatment and do it early possible. " There Diabetes Destroyer

is evidence that the interventions made ​​before week 28 reduce perinatal morbidity and prevent macrosomia and perinatal called syndrome (hypoglycemia, hypokalemia and hypocalcemia, among other conditions). "This optimal control is needed, which means that every day women must adapt their treatment and this forces to make determinations daily capillary glucose and therapeutic planning every three or four days at most."

Ideally, blood sugar must be placed below 95 mg / dL before meals, whereas postprandial values ​​must be less than 140 mg / dL. But as bad can be the consequences of inadequate control of blood as one too. "If women with gestational diabetes are reduced glycemic overreact appear underweight children for gestational age There is evidence, even under investigation, suggesting that some of these children from 10 to 15 years old can develop type 2 diabetes. "

to facilitate such comprehensive control, Street proposes to use new technologies, specifically telemedicine," with that greater adherence to treatment and greater monitoring in relation to the very frequent visits "is achieved.

the specialist has participated in the Third National Congress of the Spanish Diabetes Federation , where he presented the latest data from a study of 50 patients with gestational diabetes with the continued assistance through the mobile phone was used.

This system transmits data reflectometer capillary glucose through mobile phones via the Internet with an explanation of causes that can justify glycemic carbohydrates like have consumed, the practice of a given year, time of day that has made ​​them the analysis- and through a mobile message can be induced therapeutic changes.

the study, which is still running at its center, has revealed that "data is safe, quick and allows advance in more than two weeks administration of insulin and modification of treatment regimens with about 50 percent fewer visits." Saving time "at the moment we are the only center that has included this program continued assistance by telephone in addressing women with gestational diabetes , "says Alfonso Street. However, the system, which uses Emminens Connect Plus application is already applied in 600 type 1 diabetic patients, both Madrid center and the Hospital Clinic of Barcelona  and the Clinic of Malaga. "The philosophy of this system is to replace the face care not to interrupt the patient's life or at least minimize the impact of conventional monitoring. in the case of pregnant women, recent weeks involve constant revisions, with the disorder that leads to their daily lives, but in children this disadvantage adds that of having to stop going to school. " using a system of continuous assistance through mobile phone can be advanced insulin delivery in two weeks