{"id":18677,"date":"2018-08-03T14:41:41","date_gmt":"2018-08-03T17:41:41","guid":{"rendered":"https:\/\/www.tiabeth.com.br\/?p=18677"},"modified":"2018-08-04T14:23:26","modified_gmt":"2018-08-04T17:23:26","slug":"diabetes-e-gestacao-o-que-voce-precisa-saber","status":"publish","type":"post","link":"https:\/\/www.tiabeth.com.br\/index.php\/2018\/08\/03\/diabetes-e-gestacao-o-que-voce-precisa-saber\/","title":{"rendered":"Diabetes e gesta\u00e7\u00e3o: o que voc\u00ea precisa saber"},"content":{"rendered":"<figure id=\"attachment_18678\" aria-describedby=\"caption-attachment-18678\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/08\/gestante.jpg\"><img loading=\"lazy\" class=\"size-full wp-image-18678\" src=\"https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/08\/gestante.jpg\" alt=\"\" width=\"1000\" height=\"667\" srcset=\"https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/08\/gestante.jpg 1000w, https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/08\/gestante-300x200.jpg 300w, https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/08\/gestante-768x512.jpg 768w, https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/08\/gestante-177x118.jpg 177w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/a><figcaption id=\"caption-attachment-18678\" class=\"wp-caption-text\">Photo by\u00a0<a href=\"https:\/\/unsplash.com\/photos\/8r1hxU8OfXA?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\">Ryan Franco<\/a>\u00a0on\u00a0<a href=\"https:\/\/unsplash.com\/search\/photos\/diabetes?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\">Unsplash<\/a><\/figcaption><\/figure>\n<p>Controlar a glicemia (n\u00edveis de a\u00e7\u00facar no sangue) \u00e9 fundamental durante a gesta\u00e7\u00e3o. Mulheres que j\u00e1 s\u00e3o portadoras de diabetes mellitus (tipo 1 ou 2) devem procurar um endocrinologista antes de engravidar. Esse cuidado pr\u00e9vio diminui significativamente a chance de malforma\u00e7\u00e3o no feto e o acontecimento de aborto espont\u00e2neo.<\/p>\n<p>A recomenda\u00e7\u00e3o \u00e9 que a glicemia se aproxime ao m\u00e1ximo dos valores normais sem aumentar o risco de hipoglicemia (a\u00e7\u00facar baixo no sangue). Para pacientes que j\u00e1 est\u00e3o em uso de insulina, \u00e9 ideal otimizar a medica\u00e7\u00e3o. Os an\u00e1logos de insulina de a\u00e7\u00e3o lenta (insulina glargina e detemir) s\u00e3o utilizados com seguran\u00e7a na gesta\u00e7\u00e3o, assim como as insulinas de a\u00e7\u00e3o r\u00e1pida (lispro e aspart).<\/p>\n<p>\u00c9 recomendado ainda come\u00e7ar a suplementa\u00e7\u00e3o de 5 mg de \u00e1cido f\u00f3lico pelo menos 3 meses antes de engravidar. Dessa forma, \u00e9 poss\u00edvel diminuir o risco de malforma\u00e7\u00e3o neurol\u00f3gica. Pacientes com diabetes mellitus devem procurar o oftalmologista. O objetivo \u00e9 avaliar a sa\u00fade dos olhos antes de interromper o uso de anticoncepcionais, uma vez que a gesta\u00e7\u00e3o pode agravar a retinopatia.<\/p>\n<p>Antes de tentar engravidar, \u00e9 ainda importante realizar exames para avaliar a fun\u00e7\u00e3o renal, controlar a press\u00e3o (&lt;130x80mmHg) e verificar com seu obstetra quais s\u00e3o as medica\u00e7\u00f5es adequadas para atingir esse objetivo. Inibidores da enzima conversora de angiotensina e bloqueadores do receptor de angiotensina, como captorpil , enalapril e ARAII, podem provocar malforma\u00e7\u00e3o no feto, principalmente a partir do 2\u00ba trimestre.<\/p>\n<p>Medica\u00e7\u00f5es como estatinas e fibratos para diminuir o colesterol e triglic\u00e9rides devem ser interrompidas durante a gesta\u00e7\u00e3o. \u00c9 essencial avaliar a fun\u00e7\u00e3o tireoidiana atrav\u00e9s de exames laboratoriais que verifiquem o bom funcionamento da gl\u00e2ndula tireoide e a presen\u00e7a de anticorpos (anti tireoglobulina e anti peroxidase).\u00a0\u00c9 tamb\u00e9m altamente recomendado que mulheres acima do peso e diab\u00e9ticas emagre\u00e7am antes de engravidar, uma vez que a obesidade tamb\u00e9m est\u00e1 relacionada a complica\u00e7\u00f5es durante a gesta\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Adriana Pessoa<\/strong> \u00e9 Graduada em Medicina pela Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo e possui Resid\u00eancia em Cl\u00ednica M\u00e9dica e Endocrinologia pela mesma institui\u00e7\u00e3o. \u00c9 Especialista em Endocrinologia e Metabologia pela Associa\u00e7\u00e3o M\u00e9dica Brasileira<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/revistanews.com.br\/2018\/06\/20\/diabetes-e-gestacao-o-que-voce-precisa-saber\/\" target=\"_blank\" rel=\"noopener\">https:\/\/revistanews.com.br\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Controlar a glicemia (n\u00edveis de a\u00e7\u00facar no sangue) \u00e9 fundamental durante a gesta\u00e7\u00e3o. Mulheres que j\u00e1 s\u00e3o portadoras de diabetes mellitus (tipo 1 ou 2) devem procurar um endocrinologista antes de engravidar. Esse cuidado pr\u00e9vio diminui significativamente a chance de malforma\u00e7\u00e3o no feto e o acontecimento de aborto espont\u00e2neo. A recomenda\u00e7\u00e3o \u00e9 que a glicemia [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18678,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[21],"tags":[28,2768,2343],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Diabetes e gesta\u00e7\u00e3o: o que voc\u00ea precisa saber - TiaBeth.com<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/www.tiabeth.com.br\/index.php\/2018\/08\/03\/diabetes-e-gestacao-o-que-voce-precisa-saber\/\" \/>\r\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Diabetes e gesta\u00e7\u00e3o: o que voc\u00ea precisa saber - TiaBeth.com\" \/>\r\n<meta property=\"og:description\" content=\"Controlar a glicemia (n\u00edveis de a\u00e7\u00facar no sangue) \u00e9 fundamental durante a gesta\u00e7\u00e3o. Mulheres que j\u00e1 s\u00e3o portadoras de diabetes mellitus (tipo 1 ou 2) devem procurar um endocrinologista antes de engravidar. Esse cuidado pr\u00e9vio diminui significativamente a chance de malforma\u00e7\u00e3o no feto e o acontecimento de aborto espont\u00e2neo. 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