Case Report: Hyperglycemia in Pregnancy and The Impacts on Fetal Welfare

Stella Andani

doi:10.14710/dmj.v12i5.37831

DOI: https://doi.org/10.14710/dmj.v12i5.37831

Case Report: Hyperglycemia in Pregnancy and The Impacts on Fetal Welfare

*Stella Andani - Rumah Sakit Budi Kemuliaan, Indonesia

Citation Format:

Abstract

Background: Hyperglycemia in pregnancy is related to the outcome of pregnancy. According to the American Diabetes Association, diabetes diagnosed in the second or third trimester of pregnancy without a history of diabetes is associated with macrosomia, perinatal complications, and neonatal and maternal morbidity.

Case Presentation: This study involved 3 pregnant women with different characteristics of age, parity, and gestational age. All the women in the cases were found to have high glucose levels in the 2^nd trimester of pregnancy and received therapy.

Conclusion: Based on observational studies, patients with pregestational DM have better outcomes if the HbA1c level is <6-6.5%. In the second and third trimesters, the risk of macrosomia, preterm delivery, and preeclampsia is lower if the HbA1c level is <6%.

Keywords: BMI, Diabetes Gestational, Glucose level, Pregestational Diabetes

Fulltext View|Download

Keywords: BMI, Diabetes Gestational, Glucose level, Pregestational Diabetes

Article Metrics:

Article Info

Section: Case Report

Language : EN

In Vol 12, No 5 (2023): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)

Recent articles

Breaking the Chains of Tuberculosis: Quantifying the Effects of Literacy, Population Density, and Access to Improve Sanitation to Support Defense Health and Security in Indonesia The Effect of Cervical Cancer Counseling on Cervical Cancer Prevention Behavior in Women of Childbearing Age: A Literature Study Correlation between HbA1c Levels with Several Methods of estimated Glomerular Filtration Rate Calculation : Study in type-2 diabetes mellitus patients A 56 Years Old Female with Uncontrolled Diabetes Mellitus Type II, Pneumonia, and Suspect With Lung Abscess: a Case Report Avascular Necrosis Morbus Hansen More recent articles

Gestational diabetes [Internet]. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention; 2021 [cited 2023Jan10]. Available from: https://www.cdc.gov/diabetes/basics/gestational.htm
American Diabetes Association Professional Practice Committee. 15. management of diabetes in pregnancy: Standards of medical care in diabetes-2022 [Internet]. American Diabetes Association. American Diabetes Association; 2021 [cited 2023Jan10]. Available from: https://doi.org/10.2337/dc22-S015
Pregestational diabetes mellitus [Internet]. ACOG. [cited 2023Jan10]. Available from: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/12/pregestational-diabetes-mellitus
Sweeting A, Wong J, Murphy HR, Ross GP. Clinical update on gestational diabetes mellitus [Internet]. OUP Academic. Oxford University Press; 2022 [cited 2023Jan10]. Available from: https://academic.oup.com/edrv/article/43/5/763/6511028
Gestational diabetes [Internet]. Karger Publishers. [cited 2023Jan10]. Available from: https://www.karger.com/Book/Toc/273332
Sandu C, Bica C, Salmen T, Stoica R, Bohiltea R, Gherghiceanu F, et al. Gestational diabetes - modern management and Therapeutic Approach (review) [Internet]. Experimental and therapeutic medicine. U.S. National Library of Medicine; 2021 [cited 2023Jan10]. Available from:
Widyaputri F, Lim LL, Utami TP, Harti AP, Agni AN, et al. (2022) Prevalence of diabetes in pregnancy and microvascular complications in native Indonesian women: The Jogjakarta diabetic retinopathy initiatives in pregnancy (Jog-DRIP). PLOS ONE 17(6):e0267663. Available from : https://doi.org/10.1371/journal.pone.0267663
Setyabudi Y, Permana H, Alisjahbana B, Dewi S, Ervita, Permadi W, Mulyani Soetedjo NN. Correlation of Maternal Blood Glucose Level to Maternal Delivery and Fetal Outcome in Hasan Sadikin General Hospital. International Journal Of Medical Science And Clinical Research Studies [Internet]. 2023Jan.11 [cited 2023Feb.18];3(1):35-40. Available from: http://www.ijmscr.ijpbms.com/index.php/ijmscrs/article/view/514

Last update:

No citation recorded.

Last update:

No citation recorded.

Authors who publish with this journal agree to the following terms: - Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC-BY-NC-SA) that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal. - Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal. - Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).