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Gestasyonel Diyabetin Postpartum Yönetimi

Year 2009, Volume: 17 Issue: 3, 211 - 217, 17.09.2014

Şenay Ünsal Atan

Abstract

Diyabet, glukoz metobolizmas› için endojen insülinlerin kullan›m›nda ya da üretimindeki yetersizlikle karakterize bir hastal›
kt›r. Günümüzde gebe populasyonunun yaklafl›k %1-14’ünde gestasyonel diyabet ortaya ç›kmaktad›r. Annenin yaflam
flans› %99.5’dir. Glukoz gebelikten önce yada gebelik süresince yeterli düzeyde kontrol edilirse, genel popülasyonda fetüsün
yaflam flans› %95-97’dir.
Gestasyonel diyabeti takiben postpartum dönemde hemflirelik bak›m›n›n amac›, annede komplikasyon geliflmemesi, gebeli¤
in sa¤l›kl› yenido¤an ile sonlanmas›, ailenin bebekle bütünleflmesi olmal›d›r. Erken postpartum period süresince, glisemik
kontrolün sürdürülmesi önemlidir. Hemflireler, do¤umdan sonra normal glukoz düzeyini sürdürmek için, kan glukozunu
kendi kendine izleme, kapsaml› bir ö¤ün planlamas›, oral hipoglisemik ajanlar ve/veya insülin uygulamas›yla birlikte
düzenli egzersiz, kontrasepsiyon, baflar›l› emzirme gibi konularda dan›flmanl›k yapmal›d›rlar.
Gestasyonel diyabeti olan kad›nlarda gelecek 20 y›l içinde tip 2 diyabetes mellitus geliflme riski %50’den daha fazlad›r.
Bu nedenle, gestasyonel diyabeti takiben kad›nlar›n izlemi uzun süreli olmal›d›r. Hemflireler, aile ve annenin birlikte çal›
flmas›n› teflvik etmeli, sorunlar› erken dönemde tan›mlamal› ve çözümlemeli, tedavi konusunda kad›n ve aileye e¤itim
yapmal›d›rlar.
Anahtar Kelime: Gestasyonel diyabet, postpartum dönem, hemflirelik.

Keywords

Gestasyonel diyabet postpartum dönem hemşirelik

References

  • Acbay, O. (2009). Gebelik ve Diyabet, Klinik Geliflim, www.istabip.org.tr/media/upload/data/kg/cilt21sayi1/ozeracbay.pdf, (22.01.2009).
  • American Diabetes Association (ADA) (2003). Gestational diabetes mellitus. Diabetes Care, 26(1): 103-105.
  • American Diabetes Association (ADA) (2006). For mother’s day, fighting a disease in mothers: Gestational diabetes, http://forecast.diabetes.org/magazine/your-ada/mother%E2%80%99s-day-fightingdisease-mothers-gestational-diabetes (09.02.2009).
  • American Diabetes Association (ADA) (2008). Diagnosis and classification of diabetes mellitus. Diabetes Care, 31(1): 55-60.
  • American Diabetes Association (ADA) (2009). Diagnosis and classification of diabetes mellitus. Diabetes Care, 32(1): 62-67.
  • Bentley-Lewis, R., Levkoff, S., Stuebe, A., Seely, E. (2008). Gestational diabetes mellitus: Postpartum opportunities for the diagnosis and prevention of type 2 diabetes mellitus. Nat Clin Pract Endocrinol Metab., 4(10): 552-8.
  • Beydag, K. D. (2007). Dogum sonu dönemde annelige uyum ve hemflirenin rolü. TSK Koruyucu Hekimlik Bülteni, 6(6): 479-484.
  • Canadian Diabetes Association (2003). Gestational diabetes mellitus. Clinical Practice Guidelines, 99-105.
  • Cengiz, L. (2001). Gebelik ve karbonhidrat metabolizma bozukluklari. Beksaç, M. S. (Ed.). Obstetrik; Maternal-Fetal Tip & Perinatoloji. Medikal & Nobel Yayinlari, Istanbul, 589-615.
  • Çoban, A. (2008). Riskli gebelikler. fiirin, A., Kavlak, O. (Eds.). Kadin Sagligi. Bedray Yayinevi, Istanbul, 549-553.
  • Dietz, P. ve ark (2008). Gestational diabetes mellitus: Perspectives on lifestyle changes during pregnancy and postpartum, physical activity and the prevention of future type 2 diabetes. Australian Journal of Primary Health, 14(3): 8592.
  • Eryilmaz, G. (2008). Laktasyon ve emzirme. fiirin, A., Kavlak, O. (Eds.) Kadin Sagligi. Bedray Yayinevi, Istanbul, 785.
  • Executive summary: Standards of medical care in diabetes (2009). Diabetes Care, 32(1): 6-10.
  • Gilbert, E. S., Harmon, J. S. (2002). Yüksek Riskli Gebelik ve Dogum El Kitabi. Çeviren: L. Taflkin, Palme Yayincilik, Ankara, 218-273.
  • Kim, C., Newton, K. M., Knopp, R. H. (2002). Gestational diabetes and the incidence of type 2 diabetes: A systematic review. Diabetes Care, 25: 1862-8.
  • Kitzmiller, J. L., Kilduff, L. D., Taslimi, M. M. (2007). Gestational diabetes after delivery: Short-term management and long-term risks. Diabetes Care, 30(2): 225-235.
  • Lin, C. H, Wen, S. F., Wu, Y. H., Huang, Y. Y., Huang, M. J. (2005). The postpartum metabolic outcome of women with previous gestational diabetes mellitus. Chang Gung Med J., 28: 794-800.
  • Löbner, K. ve ark (2006). Predictors of postpartum diabetes in women with gestational diabetes mellitus. Diabetes, 55, March, 792-797.
  • McCance, D. R. ve ark (1994). Birth weight in non insulin dependent diabetes. Thrifty genotype, thrifty phenotype or surviving small baby genotype. BMJ., 308: 942-945.
  • Metzger, B. E. (2007). Summary and recommendations of the fifth international workshop-conference on gestational diabetes mellitus. Diabetes Care, 30(2): 251-260.
  • Nelson, A. L., Hien Le, M. H., Musherraf, Z., VanBerckelaer, A. (2008). Intermediate-term glucose tolerance in women with a history of gestational diabetes: Natural history and potential associations with breastfeeding and contraception. American Journal of Obstetrics & Gynecology., doi: 10.1016/j.ajog.2008.03.029: 699.
  • Özeren, S. (2007). Gestasyonel diabet ve diabetes mellitus. Çiçek, N., Mungan, T. (Eds.). Klinikte Obstetrik ve Jinekoloji. Günefl Tip Kitabevleri, Istanbul, 320-321.
  • Saez-de-Ibarra, L., Gaspar, R., Obesso, A., Herranz, L. (2003). Glycaemic behaviour during lactation: Postpartum practical guidelines for women with type 1 diabetes. Practical Diabetes International, 20(8): 271-275.
  • Setji, T. L., Brown, A. J., Feinglos, M. N. (2005). Gestational diabetes mellitus. Clinical Diabetes, 23(1): 17-24.
  • Sen, C, Uludag, S, Mad Azli, R, Ocak, V. (1993). Diabet ve gebelikte klinik yönetim. Perinatoloji Dergisi, 1: 105-112.
  • Sengil, N. (2006). Haseki Egitim ve Arafltirma Hastanesi kadin hastaliklari ve dogum kliniginde 2004-2006 yillari arasindaki diyabet ve gebelik olgularinin retrospektif incelenmesi. Uzmanlik Tezi, Istanbul.
  • Taskin, L. (2003). Riskli gebelikler. Dogum ve Kadin Sagligi Hemflireligi, 6. baski, Ankara, 182-191.
  • The Expert Committee On The Diagnosis And Classification Of Diabetes Mellitus (1997). Report of the expert committeecon the diagnosis and classification of diabetes mellitus. Diabetes Care, 20(7): 1183-1197.
  • Turok, D. K., Ratcliffe, S. D., Baxley, E. G. (2003). Management of gestational diabetes mellitus. Am Fam Physician, 68: 1767-72,1775-6.
  • World Health Organization (WHO) (1994). Management of Diabetes Mellitus Standards of Care and Clinical Practice Guidelines. http://www.emro.who.int/dsaf/dsa509.pdf. (20.O8.2008).
  • World Health Organization (WHO) (2002). Gestastional Diabetes Mellitus. http://whqlibdoc.who.int/hq/2002/9241590483.pdf (09.02.2009).

Year 2009, Volume: 17 Issue: 3, 211 - 217, 17.09.2014

Şenay Ünsal Atan

Abstract

References

  • Acbay, O. (2009). Gebelik ve Diyabet, Klinik Geliflim, www.istabip.org.tr/media/upload/data/kg/cilt21sayi1/ozeracbay.pdf, (22.01.2009).
  • American Diabetes Association (ADA) (2003). Gestational diabetes mellitus. Diabetes Care, 26(1): 103-105.
  • American Diabetes Association (ADA) (2006). For mother’s day, fighting a disease in mothers: Gestational diabetes, http://forecast.diabetes.org/magazine/your-ada/mother%E2%80%99s-day-fightingdisease-mothers-gestational-diabetes (09.02.2009).
  • American Diabetes Association (ADA) (2008). Diagnosis and classification of diabetes mellitus. Diabetes Care, 31(1): 55-60.
  • American Diabetes Association (ADA) (2009). Diagnosis and classification of diabetes mellitus. Diabetes Care, 32(1): 62-67.
  • Bentley-Lewis, R., Levkoff, S., Stuebe, A., Seely, E. (2008). Gestational diabetes mellitus: Postpartum opportunities for the diagnosis and prevention of type 2 diabetes mellitus. Nat Clin Pract Endocrinol Metab., 4(10): 552-8.
  • Beydag, K. D. (2007). Dogum sonu dönemde annelige uyum ve hemflirenin rolü. TSK Koruyucu Hekimlik Bülteni, 6(6): 479-484.
  • Canadian Diabetes Association (2003). Gestational diabetes mellitus. Clinical Practice Guidelines, 99-105.
  • Cengiz, L. (2001). Gebelik ve karbonhidrat metabolizma bozukluklari. Beksaç, M. S. (Ed.). Obstetrik; Maternal-Fetal Tip & Perinatoloji. Medikal & Nobel Yayinlari, Istanbul, 589-615.
  • Çoban, A. (2008). Riskli gebelikler. fiirin, A., Kavlak, O. (Eds.). Kadin Sagligi. Bedray Yayinevi, Istanbul, 549-553.
  • Dietz, P. ve ark (2008). Gestational diabetes mellitus: Perspectives on lifestyle changes during pregnancy and postpartum, physical activity and the prevention of future type 2 diabetes. Australian Journal of Primary Health, 14(3): 8592.
  • Eryilmaz, G. (2008). Laktasyon ve emzirme. fiirin, A., Kavlak, O. (Eds.) Kadin Sagligi. Bedray Yayinevi, Istanbul, 785.
  • Executive summary: Standards of medical care in diabetes (2009). Diabetes Care, 32(1): 6-10.
  • Gilbert, E. S., Harmon, J. S. (2002). Yüksek Riskli Gebelik ve Dogum El Kitabi. Çeviren: L. Taflkin, Palme Yayincilik, Ankara, 218-273.
  • Kim, C., Newton, K. M., Knopp, R. H. (2002). Gestational diabetes and the incidence of type 2 diabetes: A systematic review. Diabetes Care, 25: 1862-8.
  • Kitzmiller, J. L., Kilduff, L. D., Taslimi, M. M. (2007). Gestational diabetes after delivery: Short-term management and long-term risks. Diabetes Care, 30(2): 225-235.
  • Lin, C. H, Wen, S. F., Wu, Y. H., Huang, Y. Y., Huang, M. J. (2005). The postpartum metabolic outcome of women with previous gestational diabetes mellitus. Chang Gung Med J., 28: 794-800.
  • Löbner, K. ve ark (2006). Predictors of postpartum diabetes in women with gestational diabetes mellitus. Diabetes, 55, March, 792-797.
  • McCance, D. R. ve ark (1994). Birth weight in non insulin dependent diabetes. Thrifty genotype, thrifty phenotype or surviving small baby genotype. BMJ., 308: 942-945.
  • Metzger, B. E. (2007). Summary and recommendations of the fifth international workshop-conference on gestational diabetes mellitus. Diabetes Care, 30(2): 251-260.
  • Nelson, A. L., Hien Le, M. H., Musherraf, Z., VanBerckelaer, A. (2008). Intermediate-term glucose tolerance in women with a history of gestational diabetes: Natural history and potential associations with breastfeeding and contraception. American Journal of Obstetrics & Gynecology., doi: 10.1016/j.ajog.2008.03.029: 699.
  • Özeren, S. (2007). Gestasyonel diabet ve diabetes mellitus. Çiçek, N., Mungan, T. (Eds.). Klinikte Obstetrik ve Jinekoloji. Günefl Tip Kitabevleri, Istanbul, 320-321.
  • Saez-de-Ibarra, L., Gaspar, R., Obesso, A., Herranz, L. (2003). Glycaemic behaviour during lactation: Postpartum practical guidelines for women with type 1 diabetes. Practical Diabetes International, 20(8): 271-275.
  • Setji, T. L., Brown, A. J., Feinglos, M. N. (2005). Gestational diabetes mellitus. Clinical Diabetes, 23(1): 17-24.
  • Sen, C, Uludag, S, Mad Azli, R, Ocak, V. (1993). Diabet ve gebelikte klinik yönetim. Perinatoloji Dergisi, 1: 105-112.
  • Sengil, N. (2006). Haseki Egitim ve Arafltirma Hastanesi kadin hastaliklari ve dogum kliniginde 2004-2006 yillari arasindaki diyabet ve gebelik olgularinin retrospektif incelenmesi. Uzmanlik Tezi, Istanbul.
  • Taskin, L. (2003). Riskli gebelikler. Dogum ve Kadin Sagligi Hemflireligi, 6. baski, Ankara, 182-191.
  • The Expert Committee On The Diagnosis And Classification Of Diabetes Mellitus (1997). Report of the expert committeecon the diagnosis and classification of diabetes mellitus. Diabetes Care, 20(7): 1183-1197.
  • Turok, D. K., Ratcliffe, S. D., Baxley, E. G. (2003). Management of gestational diabetes mellitus. Am Fam Physician, 68: 1767-72,1775-6.
  • World Health Organization (WHO) (1994). Management of Diabetes Mellitus Standards of Care and Clinical Practice Guidelines. http://www.emro.who.int/dsaf/dsa509.pdf. (20.O8.2008).
  • World Health Organization (WHO) (2002). Gestastional Diabetes Mellitus. http://whqlibdoc.who.int/hq/2002/9241590483.pdf (09.02.2009).
There are 31 citations in total.

Details

Primary Language English
Journal Section Reviews
Authors

Şenay Ünsal Atan

Publication Date September 17, 2014
Published in Issue Year 2009 Volume: 17 Issue: 3

Cite

APA Ünsal Atan, Ş. (2014). Gestasyonel Diyabetin Postpartum Yönetimi. Florence Nightingale Journal of Nursing, 17(3), 211-217.
AMA Ünsal Atan Ş. Gestasyonel Diyabetin Postpartum Yönetimi. Florence Nightingale Journal of Nursing. September 2014;17(3):211-217.
Chicago Ünsal Atan, Şenay. “Gestasyonel Diyabetin Postpartum Yönetimi”. Florence Nightingale Journal of Nursing 17, no. 3 (September 2014): 211-17.
EndNote Ünsal Atan Ş (September 1, 2014) Gestasyonel Diyabetin Postpartum Yönetimi. Florence Nightingale Journal of Nursing 17 3 211–217.
IEEE Ş. Ünsal Atan, “Gestasyonel Diyabetin Postpartum Yönetimi”, Florence Nightingale Journal of Nursing, vol. 17, no. 3, pp. 211–217, 2014.
ISNAD Ünsal Atan, Şenay. “Gestasyonel Diyabetin Postpartum Yönetimi”. Florence Nightingale Journal of Nursing 17/3 (September 2014), 211-217.
JAMA Ünsal Atan Ş. Gestasyonel Diyabetin Postpartum Yönetimi. Florence Nightingale Journal of Nursing. 2014;17:211–217.
MLA Ünsal Atan, Şenay. “Gestasyonel Diyabetin Postpartum Yönetimi”. Florence Nightingale Journal of Nursing, vol. 17, no. 3, 2014, pp. 211-7.
Vancouver Ünsal Atan Ş. Gestasyonel Diyabetin Postpartum Yönetimi. Florence Nightingale Journal of Nursing. 2014;17(3):211-7.