(精编)Comorbid Diseases in Pregnancy教学课件.pptVIP

Comorbid Diseases in Pregnancy Chapter 105 Tintinalli Presented by Dr. Kelley December 6, 2005 Diabetes 2-3% of all pregnancies Gestational- 90% A1- diet controlled A2- insulin controlled Predated Diabetes- 10% Always insulin dependent. Do NOT use oral hypoglycemics!!! Goals- 90mg/dL fasting 140 1o postprandial ? insulin needs as pregnancy progresses. Diabetes Complications Hypertensive diseases, preterm labor, spontaneous Ab, pyelonephritis, DKA, hypoglycemia DKA- Rapid occurrence at lower glucose levels. Same tx as nonpregnant Diabetes Complications Cont. Hypoglycemia 45% occurrence Sym