Maternal glycemia of first trimester of pregnancy and gestational diabetes

Abstract

Gestational diabetes (GD) is characterized by a variety of metabolic changes ranging from physiological to pathophysiological. For many years the focus of research was on hyperglycemia. However, as detailed in the work published in this edition by Argerich et al .: “Maternal blood glucose in the first trimester of pregnancy and the probability of suffering from gestational diabetes. Categorization according to pre-pregnancy body mass index ”, there are other mechanisms that determine the probable complications of this entity, such as lipid alterations and body mass index (BMI) prior to pregnancy, as well as weight gain throughout it. However, there is no consensus regarding its diagnosis, nor in relation to the therapeutic goals. There is a general agreement on the objective to be achieved, which is: to try to achieve "normality". So the questions are: what is that normality? What are the lipid and protein goals in a pregnancy complicated by gestational diabetes?

Keywords

• diabetes gestacional
• embarazo
• glucemia de ayuno del primer trimestre
• macrosomía