Guideline on Pregnancy and Diabetes by the Society of Specialists in Perinatology (PUDER), Turkey

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dc.contributor.authorBayram, Merih
dc.contributor.authorBiri, Aydan Asyali
dc.contributor.authorBuyukbayrak, Esra Esim
dc.contributor.authorDaglar, Halil Korkut
dc.contributor.authorErcan, Fedi
dc.contributor.authorErzincan, Selen Gursoy
dc.contributor.authorEsmer, Aytul Corbacioglu
dc.date.accessioned2024-06-12T11:12:48Z
dc.date.available2024-06-12T11:12:48Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractDiabetes mellitus (DM) is the most common endocrinologic problem in pregnancy. In Turkey, the reported prevalance is between 1.9-27.9%, with an average of 7.7%. While some of these cases are pregestational diabetes (PGDM), about 90% are detected during the pregnancy for the first time and diagnosed as gestational diabetes (GDM). Diabetes in pregnancy confers serious risks regarding the fetus, newborn and the mother. Therefore, we offer GDM screening for all pregnant women preferantially between 24-28 weeks of gestation. Either one-step 75-g oral glucose tolerance test (OGTT) or two-step 50-g glucose challenge test and 100-g OGTT may be used for the screening and diagnosis. In pregnancies with high-risk for DM, screening should be performed earlier, if possible, in the first antenatal visit. When GDM is diagnosed, maternal glycemic control is tried to be achieved by diet and exercise program, and if necessary, by using insulin. The use of metformin or glyburide in pregnancy is also possible. In women with the diagnosis of DM before pregnancy, preconceptional control of plasma glucose levels is of utmost importance in order to prevent adverse pregnancy outcomes. In pregnancies with GDM regulated by diet and exercise, pregnancy follow-up may be performed as in the low risk group without any pregnancy complications. If maternal or fetal distress is not observed, delivery is planned between 39+0 -40+6 weeks. Although caesarean section is recommended when estimated fetal weight is 4500 g or more, the mode of delivery may be decided more appropriately on a case-by-case basis.en_US
dc.identifier.doi10.5336/jcog.2020-74356
dc.identifier.endpage42en_US
dc.identifier.issn2619-9467
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85095703736en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage35en_US
dc.identifier.trdizinid366018en_US
dc.identifier.urihttps://doi.org/10.5336/jcog.2020-74356
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/366018
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23302
dc.identifier.volume30en_US
dc.identifier.wosWOS:000871239600007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofJournal Of Clinical Obstetrics And Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPregnancyen_US
dc.subjectDiabetesen_US
dc.subjectGestationalen_US
dc.subjectDiabetes Mellitusen_US
dc.titleGuideline on Pregnancy and Diabetes by the Society of Specialists in Perinatology (PUDER), Turkeyen_US
dc.typeArticleen_US

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