title: [Gestational diabetes mellitus: importance of blood glucose monitoring].
abstract: Gestational diabetes mellitus (GDM) is common during pregnancy, and is frequently associated with maternal and perinatal complications. Intensive treatment of hyperglycaemia during pregnancy has been shown to reduce perinatal morbidity. In women with pregestational type 1 or 2 diabetes, hyperglycaemia during labour and delivery is an important factor in the development of neonatal hypoglycaemia. There are no generally accepted recommendations for women with GDM. Recent studies evaluating patients with GDM show that peripartum glucose control can be achieved in these women without the need for insulin use in the majority of cases. Hyperglycaemia during labour is not related with treatment established during pregnancy but rather with non-compliance of endocrinological follow-up. Factors such as ethnic origin, neonatal hypoxaemia, and large for gestational age seem to play an important role in the development of neonatal hypoglycaemia.
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital del Mar, Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Juana A
authors.initials: JA
authors.lastname: Flores Le-Roux
authors.forename: David
authors.initials: D
authors.lastname: Benaiges Boix
authors.forename: Juan
authors.initials: J
authors.lastname: Pedro-Botet
mesh_terms: D000818:Animals; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000379:methods; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000453:epidemiology / Q000209:etiology*; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases; D011247:Pregnancy; D012307:Risk Factors
chemical_list: D001786:Blood Glucose
keywords: Complicaciones; Complications; Control glucémico; Diabetes mellitus gestacional; Gestational diabetes mellitus; Glucose control