Search

La pandemia del Covid-19 llegó a todos los lugares como antes nunca había sucedido, evidenciando las debilidades de los Sistemas de Salud del mundo, ocasionando miles de muertes sin prácticamente poder hacer mayor cosa para evitarlo, por lo cual se generó la activación de planes y estrategias que propendieran por el mantenimiento de la salud y el bienestar de las personas. Siendo una situación sanitaria compleja, se requirió establecer medidas de control, pruebas para el diagnóstico, manejo terapéutico y de rehabilitación que orientaran las decisiones individuales y colectivas a nivel poblacional. Dada las circunstancias, un equipo interdisciplinar de la Secretaría Distrital de Salud conformado por especialistas en Medicina Interna, Infectología, Gineco-obstetricia, Urgencia, Fisioterapia, Enfermería, Salubrista público y Epidemiólogo, llevó a cabo una revisión del tema con el fin de recopilar lo descrito en la evidencia y detallar de manera sistemática y sucinta las recomendaciones y aplicaciones actuales que, desde el quehacer disciplinar en un trabajo en conjunto, se necesita para el abordaje exitoso de esta enfermedad y sus secuelas.

Background: Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition. Aim: To estimate the adherence of the guide in primary care centers. Material and Methods: A Cross-sectional study of pregnant women suspected of having gestational diabetes. Pregnant women were classified according to the week of admission to the prenatal control program: < week 24 or later. Women with a fasting blood glucose over 92 mg/dL and under 126 mg/dL or with some positive result to the oral glucose tolerance test were included. Results: Nine percent (1,887 women) of 21,699 registries of pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries with complete data were analyzed. Sixty nine entered the program at less than 24 weeks of pregnancy and 71% had had a fasting blood glucose measured in the first control. In 69.2% of these women, criteria for gestational diabetes was met. A glucose tolerance test was suggested to women with a blood glucose below 92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for gestational diabetes. Among the 498 women who entered the program after 24 weeks of gestation, 68% met the criteria for gestational diabetes with the fasting blood glucose levels. In 90 women, a glucose tolerance test was performed and 80% met the criteria for gestational diabetes. Conclusions: An adequate adherence to guidelines favors the detection of pregnant women with gestational diabetes.

Background: Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition. Aim: To estimate the adherence of the guide in primary care centers. Material and Methods: A Cross-sectional study of pregnant women suspected of having gestational diabetes. Pregnant women were classified according to the week of admission to the prenatal control program: < week 24 or later. Women with a fasting blood glucose over 92 mg/dL and under 126 mg/dL or with some positive result to the oral glucose tolerance test were included. Results: Nine percent (1,887 women) of 21,699 registries of pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries with complete data were analyzed. Sixty nine entered the program at less than 24 weeks of pregnancy and 71% had had a fasting blood glucose measured in the first control. In 69.2% of these women, criteria for gestational diabetes was met. A glucose tolerance test was suggested to women with a blood glucose below 92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for gestational diabetes. Among the 498 women who entered the program after 24 weeks of gestation, 68% met the criteria for gestational diabetes with the fasting blood glucose levels. In 90 women, a glucose tolerance test was performed and 80% met the criteria for gestational diabetes. Conclusions: An adequate adherence to guidelines favors the detection of pregnant women with gestational diabetes.

Objetivo: Determinar la relación entre la práctica de actividad física durante el embarazo y el diagnóstico de diabetes gestacional. Métodos: Estudio de corte transversal en 579 gestantes. Se evaluó la actividad física, etapas de cambio y la percepción de barreras para realizar actividad física. Se realizó la prueba de tolerancia oral a la glucosa (PTOG), con carga oral de 75 gr en ayunas. Resultados: La frecuencia de actividad física fue 30,9%. La inactividad física [OR 2,6 (IC 95% 1,5-4,4)], la falta de tiempo [OR 11,9 (IC 95% 1,6-87,7)], y el miedo a lesionarse [OR 4,3 (IC 95% 1,3-14)] son un riesgo para desarrollar diabetes gestacional. Existen diferencias en los valores de glicemia entre las activas e inactivas físicamente (p