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Cited by 7Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

Diabetes mellitus gestacional en un hospital de la Ciudad de Buenos Aires, Argentina: incidencia, tratamiento, y frecuencia de tamizaje para reclasificación luego del parto

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Pagotto, Vanina, Posadas Martínez, María Lourdes, Salzberg, Susana, Pochettino, Pablo Andrés·2022·Revista de la Facultad de Ciencias Médicas de Córdoba
DOI 10.31053/1853.0605.v79.n3.36734PMC PMC9590823
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Abstract

Introducción: La diabetes mellitus gestacional (DMG) se define como la intolerancia a la glucosa diagnosticada en el embarazo. Esta patología puede asociarse a complicaciones maternas y feto-neonatales, tanto a corto como a largo plazo. La prevalencia de DMG en Argentina (basada en el criterio diagnóstico de la Asociación Latinoamericana de Diabetes (ALAD), se estima entre 7,5-10% de las mujeres embarazadas. Es escasa la información en Argentina sobre la incidencia de DMG. El objetivo de este trabajo fue estimar la incidencia de DMG, evaluar su tratamiento y la frecuencia de tamizaje para reclasificación postparto de la diabetes en una población de mujeres embarazadas atendidas en un hospital privado de la ciudad de Buenos Aires. Materiales y métodos: cohorte retrospectiva de embarazadas evaluadas en el Hospital Italiano de Buenos Aires, Argentina entre los años 2015 a 2018. Resultados: La incidencia acumulada de DMG fue 7,6 % (IC 95% 7,0-8,2). Todas las pacientes recibieron consejo nutricional (plan alimentario). Del total de embarazadas estudiadas requirieron tratamiento farmacológico 229 (39.3%); recibieron insulina 97 (16,7%) y 132 metformina (22,7%). En cuanto al seguimiento de la patología, entre las seis semanas y el año postparto realizaron tamizaje de diabetes para reclasificación 267 mujeres (45,9%). La frecuencia de tamizaje fue mayor en el grupo tratado con insulina. De las pacientes que realizaron el tamizaje, presentaron glucemia alterada en ayuno 36 mujeres (13,5%), tolerancia a la glucosa alterada 16 mujeres (6,0%) y 3 mujeres (1,1%) fueron diagnosticadas con diabetes mellitus tipo 2. Conclusión: la incidencia de DMG fue 7,6%. Menos de la mitad de las mujeres diagnosticadas con DMG requirió tratamiento farmacológico. La frecuencia de tamizaje de diabetes hasta el año postparto para la reclasificación similar a la reportada.

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  • Lifestyle and eating customs influence the development of gestational diabetes.

    “los estudios de (14) y (13) destacan la manera en que el estilo de vida y las costumbres alimenticias influyen en el desarrollo de la diabetes gestacional.”

    From DETERMINANTES EPIDEMIOLÓGICOS DE LA DIABETES GESTACIONAL EN AMÉRICA LATINA: UNA REVISIÓN SISTEMÁTICA (2020–2025) (2025) · cites this paper as [14]

    The Discussion (Incidencia de DMG; page unavailable) identifies obesity as a major risk factor for gestational diabetes and suggests it may contribute to rising incidence. That lends limited support to the broader point about lifestyle-related risk, but the paper does not say that lifestyle or eating customs themselves influence the development of gestational diabetes. Its discussion of dietary plans concerns treatment after diagnosis, not development. (LLM, conf=0.78)

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Research works printed but not linked: 20

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Authors
Pagotto, V., Posadas Martínez, M. L., Salzberg, S., & Pochettino, P. A.
Affiliations
Hospital Italiano de Buenos Aires (AR)
Corresponding author
  • Pagotto, Vanina
  • Salzberg, Susana
ORCID
Venue
Revista de la Facultad de Ciencias Médicas de Córdoba
Publisher
Universidad Nacional de Córdoba
Published
2022-09-16
Volume
79
Issue
3
Pages
248-253
ISSN
  • 0014-6722 (ISSN-L)
  • 1853-0605
DOI
10.31053/1853.0605.v79.n3.36734
PMC
PMC9590823
OpenAlex
W4296795898
Cited by
7
References
6
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1
FWCI
1.43
Type
journal article
Language
es
Open access
Licence
Locations
  • Revista de la Facultad de Ciencias Médicas de Córdoba (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
gestational diabetes mellitus, incidence, GDM treatment, insulin therapy, metformin, postpartum diabetes screening, impaired fasting glucose, impaired glucose tolerance, nutritional advice, Buenos Aires
MeSH terms
Argentina, Blood Glucose, Diabetes Mellitus, Type 2, Female, Glucose Tolerance Test, Hospitals, Humans, Infant, Newborn, Metformin, Pregnancy, Retrospective Studies, Incidence, Diabetes, Gestational, Glucose Intolerance, Insulins

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