title: [Insulin resistance in pregnant type 1 diabetic female. Case report].
abstract: Insulin resistance may coexist with diabetes type 1 and make treatment of diabetes difficult. Case of 24-year-old type 1 diabetic female with insulin resistance features prior to pregnancy is reported. Exacerbating of insulin resistance during pregnancy was manifested by difficulties to overcome excessive weight gain and necessity to initiate treatment with high doses of insulin. The treatment was based on diet with progressive caloric restriction to 800 kcal/day in 35 week of pregnancy. That diet was continued till the delivery in 37 week. The fast acting analog insulin (Humalog) and long acting insulin (Humulin U) were used in treatment of diabetes. Treatment with low calorie diet did not cause negative effects on diabetic female metabolism and on the neonate state.
authors.affiliation: Katedra i Klinika Gastroenterologii, Chorób Naczyń Chorób Wewnetrznych.
authors.forename: Alina
authors.initials: A
authors.lastname: Sokup
authors.forename: Maciej
authors.initials: M
authors.lastname: Swiatkowski
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Tyloch
authors.forename: Barbara
authors.initials: B
authors.lastname: Góralczyk
authors.forename: Wiesław
authors.initials: W
authors.lastname: Szymański
mesh_terms: D000328:Adult; D031204:Caloric Restriction; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007328:Insulin / Q000008:administration & dosage / Q000031:analogs & derivatives; D061268:Insulin Lispro; D007333:Insulin Resistance; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000188:drug therapy*
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin; D061268:Insulin Lispro