title: [The structure of extragenital pathology in pregnant women with diabetes in endemic by iodine region].
abstract: We have conducted a complex clinical and paraclinical study of 108 women, 78 of which had diabetes and 30 healthy women that made a control group. In 60.3% of the pregnant patients type 1 diabetes was diagnosed, in 11.5%--type 2. Gestational diabetes was found in 28.2% of pregnant women. The vast number of the surveyed pregnant women (52.6%) was diagnosed with moderate and severe (38.5%) degree of the disease. In 12.5% of them the disease was compensated, in 82.1% subcompensated, while in 5.1%--decompensated. In pregnant women with diabetes a high incidence of extragenital diseases was revealed, the most common of which was iron deficiency anemia, which complicated the pregnancy of more than half of the pregnant of the basic group (57.7%), while in the control--in 13.3% of women (p < 0.05). Thyroid diseases in the study group were more than three times more common compared to the control group (47.4% and 13.3%, p < 0.05), while in pregnant women with type 1 diabetes in 55.3% of the patients. Herewith in 29.4% of cases were diagnosed with hypothyroidism, in 52.9--subclinical hypothyroidism, in 25.5% of pregnant women were found autoimmune thyroiditis. These data indicate the need of screening of the pregnant women with diabetes to identify the pathology of the thyroid gland even if the clinical symptom are absent, particularly in the areas of iodine deficiency.
authors: Iu Iu
authors: IuIu
authors: Bobyk
authors: N Iu
authors: NIu
authors: Lemish
mesh_terms: D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000453:epidemiology*; D016022:Case-Control Studies; D015897:Comorbidity; D016640:Diabetes, Gestational / Q000453:epidemiology*; D019353:Endemic Diseases / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011250:Pregnancy Complications, Hematologic / Q000453:epidemiology; D011254:Pregnancy in Diabetics / Q000453:epidemiology*; D013959:Thyroid Diseases / Q000453:epidemiology*