Diabetes and Pregnancy: an Update of the Problem

ABSTRACT

Pregnancies complicated by diabetes account for about 7% of all pregnancies attended by the Brazilian Unified Health care System (SUS) and are one of the maincauses of maternal/perinatal morbidity and mortality in Brazil. Considering the importance of this topic, this article presents an update of diabetes classification, diagnostic criteria, maternal/perinatal outcomes, and both clínical and obstetric prenatal care. Even though there is no consensus about screening and diagnostic standards, the investigation of hyperglycernia in all risk pregnancies is recommended. The importance of adequate metabolic control is emphasized in order to improve maternal and neonatal outcomes. Finally, the development of educational programs is encouraged, viewing not only good gestational outcome but alsolong-term changes in the lifestyle ofthese women.