Title (croatian) Novosti u liječenju gestacijskog dijabetesa Title (english) Update on treatment of gestational diabetes Author Nika Hlača Author Sanja Klobučar Majanović Author's institution University of Rijeka Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract (croatian) Gestacijski dijabetes (GDM) najčešći je metabolički poremećaj u trudnica povezan s neželjenim ishodima trudnoće i dugoročnim zdravstvenim rizicima za majke i njihovo potomstvo. Prevalencija GDM-a u svijetu raste zbog epidemije debljine, sve starije dobi trudnica i strožih dijagnostičkih kriterija. Promjena životnog stila temeljena na uravnoteženoj prehrani i prirast tjelesne mase unutar poželjnih okvira imaju vodeću ulogu u liječenju GDM-a. Ako glikemijske ciljeve nije moguće ostvariti samo dijetom, indicirana je terapija inzulinom s obzirom na to da za oralne antihiperglikemike još nema dovoljno podataka o dugoročnoj sigurnosti. Budući da žene s GDM-om imaju doživotni rizik za razvoj šećerne bolesti tipa 2, potrebno je redovito praćenje i probir na šećernu bolest 4 do 12 tjedana nakon poroda te potom svake 1 do 3 godine. Cilj ovog članka je prikazati novosti u liječenju gestacijskog dijabetesa.
Abstract (english) Gestational diabetes (GDM) is the most common metabolic disorder in pregnant women associated with adverse pregnancy outcomes and long-term maternal and offspring health risks. Worldwide GDM prevalence is increasing in the setting of the obesity epidemic, advanced maternal age, and tighter diagnostic criteria. Lifestyle interventions that promote healthy eating behaviours and healthy weight gain play a key role in the management of GDM. If glycemic targets are not achieved with diet alone, insulin therapy is recommended since oral antihyperglycemic agents lack long-term safety data. Because GDM is associated with an increased lifetime maternal risk for type 2 diabetes women should be followed up regularly and screened for diabetes 4- to 12-weeks postpartum and every 1–3 years thereafter. The aim of this article is to present an update on treatment of gestational diabetes.
Keywords (croatian)
dijetoterapija
gestacijski dijabetes
inzulin
metformin
Keywords (english)
dietary intervention
gestational diabetes
insulin
metformin
Language croatian Language english Publication type Scientific paper - Review paper Publication status Published Peer review Peer review Publication version Published version Journal title Medicina Fluminensis : Medicina Fluminensis Numbering vol. 55, no. 4, pp. 330-336 p-ISSN 1847-6864 e-ISSN 1848-820X DOI https://doi.org/10.21860/medflum2019_227123 URN:NBN urn:nbn:hr:184:037894 Publication 2019 Document URL https://hrcak.srce.hr/227123 Type of resource Text Access conditions Open access Terms of use Created on 2019-12-05 14:52:29
