TY  - JOUR
TI  - Guideline on Pregnancy and Diabetes by the Society of Specialists in Perinatology (PUDER), Turkey
AB  - ABS TRACT Diabetes mellitus (DM) is the most common endocrinologic problem in pregnancy. In Turkey, the reported prevalance is between 1.9-27.9%, with an average of 7.7%. While some of these cases are pregestational diabetes (PGDM), about 90% are detected duringthe pregnancy for the first time and diagnosed as gestational diabetes (GDM). Diabetes in pregnancy confers serious risks regarding the fetus,newborn and the mother. Therefore, we offer GDM screening for all pregnant women preferantially between 24-28 weeks of gestation. Either one-step 75-g oral glucose tolerance test (OGTT) or two-step 50-g glucose challenge test and 100-g OGTT may be used for the screening and diagnosis. In pregnancies with high-risk for DM, screening should be performed earlier, if possible, in the first antenatal visit. WhenGDM is diagnosed, maternal glycemic control is tried to be achieved by diet and exercise program, and if necessary, by using insulin. Theuse of metformin or glyburide in pregnancy is also possible. In women with the diagnosis of DM before pregnancy, preconceptional controlof plasma glucose levels is of utmost importance in order to prevent adverse pregnancy outcomes. In pregnancies with GDM regulated by dietand exercise, pregnancy follow-up may be performed as in the low risk group without any pregnancy complications. If maternal or fetal distress is not observed, delivery is planned between 39+0 -40+6 weeks. Although caesarean section is recommended when estimated fetal weightis 4500 g or more, the mode of delivery may be decided more appropriately on a case-by-case basis.
AU  - Sanhal, Cem Yasar
AU  - Timur, Hakan
AU  - Kara, Ozgur
AU  - Ercan, Fedi
AU  - Gencosmanoğlu Türkmen, Gülenay
AU  - KATLAN, DORUK CEVDİ
AU  - Bayram, Merih
AU  - turkyilmaz, gurcan
AU  - Biri, Aydan
AU  - Gursoy Erzincan, Selen
AU  - İnan, Cihan
AU  - sagsoz, nevin
AU  - Nas, Tuncay
AU  - Yanık, Filiz Fatma
AU  - Kanıt, hakan
AU  - YÜKSEL, mehmet
AU  - daglar, halil korkut
AU  - Corbacioglu Esmer, Aytul
AU  - Öcal, Ece
AU  - ESIM BÜYÜKBAYRAK, ESRA
AU  - TURHAN, UGUR
AU  - şahin, güler
DO  - 10.5336/jcog.2020-74356
PY  - 2020
JO  - Journal of Clinical Obstetrics & Gynecology
VL  - 30
IS  - 1
SN  - 2619-9467
SP  - 35
EP  - 42
DB  - TRDizin
UR  - http://search/yayin/detay/366018
ER  -