The metabolic pattern for monitoring and management of gestational diabetes

C.O.D. Teodorescu, G.P. Gorecki, L. Pleș, R.M. Sima, O.D. Bălălău, A. Filipescu, A. Teodorescu

Rezumat: The objective of this paper was to analyze the metabolic model for the monitoring and management of gestational diabetes. This is a descriptive, retrospective and observational study, based on the medical records from the database of the “Alessandrescu-Rusescu” Institute for Maternal and Child Health, Bucharest. There were included 157 patients who showed up for consult in every trimester of pregnancy. Fat accumulation during pregnancy is variable and may depend on the woman’s pre-pregnancy metabolic status and other lifestyle variables such as diet and physical activity. Pregnancy represents a critical period of growth, development and physiological change, providing an opportunity for early lifestyle intervention. The goal of identifying an effective lifestyle program for the gestational period that leads to healthy fetal development and subsequent normal weight offspring less likely to develop obesity and its comorbidities is unique and could mitigate the intergenerational cycle of obesity. The main objective in the management of obesity during pregnancy is prevention. Basically, apart from pre-conceptional weight loss in the management of obese pregnant women, glucose screening should be considered in obese women in early pregnancy to rule out undiagnosed pregestational diabetes.
Cuvinte cheie: gestational diabetes, pregnancy, metabolic pattern, pregnancy, abdominal circumference.