title: [A clinical guideline for diagnosis and treating of diabetes during pregnancy].
abstract: BACKGROUND
  Metabolic disturbance commonly occurs during pregnancy and perinatal outcome harms, with increased maternal-fetal morbidity. The prevalence of diabetes during pregnancy in Mexico is 7%.
  
  
  OBJECTIVE
  To develop a guideline available to the staff of the first, second and third level of care, that includes recommendations based on the best available evidence.
  
  
  METHODS
  Clinical questions were formulated and structured. Standardized sequence was established to search for practice guidelines from the clinical questions raised on diagnosis and treatment of diabetes and pregnancy. The working group selected clinical practice guidelines. We found eleven guidelines which took many of the recommendations. For recommendations not included in the reference guides the search process was conducted in PubMed and Cochrane Library. The results were expressed as levels of evidence and grade of recommendation.
  
  
  CONCLUSIONS
  Diabetes mellitus during pregnancy increases perinatal morbidity and mortality. The recommendations in this evidence-based guide will help to make diagnosis and treatment standardized to reduce the consequences of disease.
authors.affiliation: Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Distrito Federal, México.
authors.forename: Karla C
authors.initials: KC
authors.lastname: Font-López
authors.forename: Eliana
authors.initials: E
authors.lastname: Cejudo-Carranza
authors.forename: Alma E
authors.initials: AE
authors.lastname: López-Caucana
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Peralta-Pedrero
authors.forename: Mary Flor
authors.initials: MF
authors.lastname: Díaz-Velásquez
authors.forename: Eduardo
authors.initials: E
authors.lastname: Puello-Tamara
authors.forename: Aurora
authors.initials: A
authors.lastname: Ramírez-Torres
mesh_terms: D000465:Algorithms; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D017410:Practice Guidelines as Topic; D011247:Pregnancy