Skip to main content
SpringerLink
Log in

Diabete mellito e gravidanza

  • Chapter
Medicina dell’età prenatale

  • 614 Accesses

Estratto

Il diabete mellito è una sindrome endocrino-metabolica caratterizzata da iperglicemia secondaria ad un deficit assoluto o relativo di insulina (quest’ultimo spesso associate ad insulino-resistenza); ne consegue una marcata alterazione del ricambio (glicidico, protidico, lipidico e idrosalino) che si associa ad una tipica microangiopatia evidente soprattutto a livello retinico e renale [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliografia

  1. Blumenthal SA, Abdul Karim BW (1987) Diagnosis, classification, and metabolic management of diabetes in pregnancy: therapeutic impact of self-monitoring of blood glucose and of newer methods of insulin delivery. Obstet Gynecol Surv 42:593–604

    PubMed  CAS  Google Scholar 

  2. National Diabetes Data Group (1979) Classification and diagnosis of diabetes mellitus and others categories of glucose intolerance. Diabetes 28:1039

    Google Scholar 

  3. Harris MI (2000) Definition and classification of diabetes mellitus and the new criteria for diagnosis. In: Le Roith D, Tailor SI, Olefsky JM (eds) Diabetes mellitus. A. Fondamental and clinical text. Lippincott-Williams and Wilkins, Philadelphia, pp 326–334

    Google Scholar 

  4. Petersen JS, Dyrberg T, Damm P et al (1996) GAD65 autoantibodies in women with gestational or insulin dependent diabetes mellitus diagnosed during pregnancy. Diabetologia 39:132–133

    Article  Google Scholar 

  5. Report of the expert committee on the diagnosis and classification of diabetes mellitus (2002). Diabetes Care 25:S5–S20

    Google Scholar 

  6. Hare JW (1997) Diabete e gravidanza. In: Kahn RC, Weir GC (eds) Il diabete mellito. Mediserve, Napoli

    Google Scholar 

  7. Kalkhoff RK, Kissebah AH, Kim HJ (1978) Carbohydrate and lipid metabolism during normal pregnancy: relationship to gestational hormone action. Semin Perinatal 2:291–307

    CAS  Google Scholar 

  8. Hollingsworth DR (1985) Maternal metabolism in normal pregnancy and pregnancy complicated by diabetes mellitus. Clinical Obstet Gynecol 28:457–472

    Article  CAS  Google Scholar 

  9. Yen SSC (1973) Endocrine regulation of metabolic homeostasis during pregnancy. Clin Obstet Gynecol 16:130–147

    Article  PubMed  CAS  Google Scholar 

  10. Di Cianni G, Volpe L, Miccoli R et al (2001) Fisiopatologia del metabolismo in gravidanza. Il Diabete 13:249–264

    Google Scholar 

  11. Eriksson J (1998) Etiology of congenital malformations in diabetic pregnancy. Atti della Società Italiana di Ginecologia e Ostetricia. Milano 1998

    Google Scholar 

  12. Simpson JL, Mills JL, Ober C et al (1990) DR3+ and DR4+ diabetic women have increased risk for anomalies: evidence for genetic susceptibility in diabetic embryopathy. Presented at the 37th Annual Meeting of the Society for Gynecologic Investigation, Abstract 391, St Louis, MO

    Google Scholar 

  13. Freinkel N, Lewis NJ, Akazawa S et al (1984) The honeybee syndrome: implication of the teratogenecity of mannose in rat-embryo culture. N Engl J Med 310:223–230

    Article  PubMed  CAS  Google Scholar 

  14. Buchanan TA, Schemmer JK, Freinkel N (1986) Embryotoxic effects of brief maternal-induced hypoglycemia during organogenesis in the rat. J Clin Invest 78:643–649

    PubMed  CAS  Google Scholar 

  15. Langer O (2000) Fetal macrosomia: etiologic factors. Clin Obstet Gynecol 43:283–297

    Article  PubMed  CAS  Google Scholar 

  16. Spellacy WN, Miller S, Winegar A et al (1985) Macrosomia — maternal characteristics and infant complications. Obstet Gynecol 66:158–161

    PubMed  CAS  Google Scholar 

  17. Naeye RL (1965) Infants of diabetic mothers: a quantitative morphologic study. Pediatrics 35:980–988

    PubMed  CAS  Google Scholar 

  18. Gordon M, Landon MB, Samuels P et al (1996) Perinatal outcome and long-term follow-up associated with modern management of diabetic nephropathy (Class F). Obstet Gynecol 87:401–409

    Article  PubMed  CAS  Google Scholar 

  19. Parretti E, Mecacci F, Papini M et al (2001) Third-trimester maternal glucose levels from diurnal profiles in non diabetic pregnancies: correlation with sonographic parameters of fetal growth. Diabetes Care 24:1319–1323

    Article  PubMed  CAS  Google Scholar 

  20. Coustan DR, Felig P (1999) Diabetes mellitus. In: Burrow GN, Duffy TP (eds) Medical complications during pregnancy. WB Saunders Company, Philadelphia

    Google Scholar 

  21. Modanlou HD, Komatsu G, Dorchester W et al (1982) Large-for-gestational age neonates: anthropometric reason for shoulder dystocia. Obstet Gynecol 60:417–423

    PubMed  CAS  Google Scholar 

  22. American Diabetes Association Position Statement (2002) Preconception care of women with diabetes. Diabetes Care 25:882–884

    Article  Google Scholar 

  23. Felicetti M, Borrelli P, Di Domenico A et al (2001) Programmazione della gravidanza nella paziente diabetica: ruolo del ginecologo. Convegno di Studio “Diabete e Gravidanza” Napoli 15–16 giugno 2001

    Google Scholar 

  24. King H (1998) Epidemiology of glucose intolerance and gestational diabetes in women of childbearing age. Diabetes Care 21:B9–B13

    Article  PubMed  Google Scholar 

  25. Freinkel N (1980) Gestational diabetes: philosophical and, practical aspects of a major health problem. Diabetes Care 3:399–401

    PubMed  CAS  Google Scholar 

  26. Carpenter MW, Coustan DR (1982) Criteria for screening tests of gestational diabetes. Am J Obstet Gynecol 144:768–773

    PubMed  CAS  Google Scholar 

  27. Sacks DA, Abu-Fadil S, Greenspoon J et al (1989) Do the current standards for glucose tolerance testing in pregnancy represent a valid conversion of O’Sullivan’s original criteria? Am J Obstet Gynecol 161:638–641

    PubMed  CAS  Google Scholar 

  28. Langer O, Anyaegbunam A, Brustman L et al (1989) Management of women with one abnormal oral glucose tolerance test value reduces adverse outcome in pregnancy. Am J Obstet Gynecol 161:593–599

    PubMed  CAS  Google Scholar 

  29. Gabbe SG (1980) Management of diabetes in pregnancy: six decades of experience. In: Pitkin RM, Zlatnik F (eds) The Yearbook of obstetrics and gynecology. Year Book Medical Publishers, Chicago

    Google Scholar 

  30. Landon MB (2000) Obstetric management of pregnancies complicate by diabetes mellitus. Clin Obstet Gynecol 43:65–74

    Article  PubMed  CAS  Google Scholar 

  31. Jovanovic L (2000) Role of diet and insulin treatement of diabetes in pregnancy. Clin Obstet Gynecol 43:127–139

    Article  Google Scholar 

  32. Luke B, Murtaugh M (1995) Dietary management of diabetes during pregnancy. In: Recce EA, Coustan DR (eds) Diabetes mellitus in pregnancy: principles and practice. Churchill Livingstone, New York

    Google Scholar 

  33. Algert S, Shragg P, Hollingsworth DR (1985) Moderate caloric restriction in obese women with gestational diabetes. Obstet Gynecol 65:489–491

    Google Scholar 

  34. Neilson JP, Alfirevic Z (2000) Doppler ultrasound for fetal assessment in high risk pregnancies. Cochrane Database Syst Rev (2):CD000073

    Google Scholar 

  35. Lagrew DC, Pircon RA, Towers CV (1993) Antepartum fetal surveillance in patients with diabetes: when to start? Am J Obstet Gynecol 168:1820–1827

    PubMed  CAS  Google Scholar 

  36. Società Italiana di diabetologia, di ginecologia e ostetricia, di medicina perinatale. Gruppo di studio “diabete e gravidanza” (1995) Diabete e gravidanza. Metodi di screening e di monitoraggio. Progetto finalizzato CNR Fatma Roma

    Google Scholar 

  37. Landon MB, Gabbe SG (1985) Antepartum fetal surveillance in gestational diabetes mellitus. Diabetes 34:50–54

    PubMed  Google Scholar 

  38. Landon MB, Gabbe SG, Sachs L (1990) Management of diabetes mellitus and pregnancy: a survey of obstetricians and maternal-fetal specialists. Obstet Gynecol 75:635–640

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centro di Diagnosi Prenatale Dipartimento di Scienze Ginecologiche Ostetriche e della Riproduzione, II Università degli Studi di Napoli, Napoli

    Antonio L. Borrelli & Claudio Ferrara

  2. Department of Obstetrics and Gynaecology, University College Hospital, London, UK

    Paola Borrelli

Authors
  1. Antonio L. Borrelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Claudio Ferrara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Paola Borrelli
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Italia

About this chapter

Cite this chapter

Borrelli, A.L., Ferrara, C., Borrelli, P. (2008). Diabete mellito e gravidanza. In: Medicina dell’età prenatale. Springer, Milano. https://doi.org/10.1007/978-88-470-0688-1_20

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-0688-1_20

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0687-4

  • Online ISBN: 978-88-470-0688-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation