[Results of 5-year activity in a program for pregnant diabetics in south-eastern Poland. I. Methodology of a unified program and evaluation of the degree of diabetes compensation in pregnant women].
A model of diabetic-obstetrical management in pregnant diabetics from the south-eastern Poland realized in Cracow has been described. It consists in education, intensive insulin therapy and self-control with borrowed glucose meters. The study included 102 pregnant women enrolled from 1987-1991. It was found that the patients in general with poorly normalized diabetes mellitus referred late to a special unit. It was shown that with experience normoglycemia was achieved with lower insulin doses in four injections. A characteristic feature was a very small number (4) of the patients who had thought of diabetes normalization before pregnancy. Coordinated care provides a possibility of reducing failures in pregnancy, nevertheless it is necessary to develop comprehensive care both before and during pregnancy in diabetic women.
Sieradzki
J
J
Kliniki Chorób Metabolicznych, Collegium Medicum UJ, Kraköw.
Kalita
J
J
Szurkowska
M
M
Krzyczkowska-Sendrakowska
M
M
Kostecka-Matyja
M
M
D000328:Adult; D015190:Blood Glucose Self-Monitoring; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007328:Insulin / Q000008:administration & dosage*; D010353:Patient Education as Topic; D011044:Poland; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000378:metabolism / Q000628:therapy*; D016896:Treatment Outcome
D007328:Insulin
Wyniki 5-letniej działalności programu dla ciezarnych z cukrzyca w Polsce południowo-wschodniej. I. Metodyka ujednoliconego programu i ocena stopnia wyrównania cukrzycy u ciezarnych.