GESTATIONAL DIABETES - USE OF AN INTENSIF IED TREATMENT PROGRAM AT A REGIONAL LEVEL

In this study the results are shown of the application of an intensifi ed treatment program of Gestational Diabetes (GD) in a regional settin g, From January 1991 to June 1995, 115 women with GD were attended at Mutua Hospital in Terrassa; 62.6% of them required insulin to optimize the metabolic central, When insulin dependent women were compared wit h non insulin dependent women, diagnosis was earlier; age, progestatio nal age, serum glucose in the O'Sullivan test and diagnostic basal ser um glucose in oral overload (GOO) were higher. Regarding perinatal res ults, the incidence of gestational hypertensive disturbances, hydramni os, and urinary tract infections were 7%, 1.7%, and 8%, respectively, Perinatal mortality was 0.86%. Delivery occurred after 37 weeks in 96. 5% of cases and the cesarian section was performed in 26%; nevertheles s, this rate was similar to that in the obstetric population attended at this institution (25%), Birth weight was high for gestational age i n 7.8% of newborns (NB) and low in 2.5%. Factors associated with fetal weight included progestational maternal weight, ponderal increase dur ing pregnancy and metabolic control (HbAlc). The present study suggest s that the application of an intensified treatment program for GD can be carried out in a regional setting and with overall successful resul ts.