La diabetes en Internet / Diabetes on the Internet

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[A glucose tolerance study in the 12 months postpartum in patients with gestational diabetes]. / Estudio de la tolerancia a la glucosa en los 12 meses posparto en pacientes con diabetes gestacional.

BACKGROUND: It has been reported that patients with gestational diabetes have a considerable long term risk of developing diabetes mellitus. METHOD: Glucose tolerance was studied in the 12 months following birth in 155 patients diagnosed by the authors as having gestational diabetes and followed during pregnancy. RESULTS: It was observed that in 48% of the patients alterations persisted (33% glucose intolerance and 15% diabetes mellitus). Glucose tolerance during gestation and the perinatal results were retrospectively analyzed with a relation with the postpartum reclassification being observed. CONCLUSIONS: It was estimated that the percentage of alterations in glucose tolerance persisting postpartum is extremely high, suggesting the need for this test with a double objective: the reclassification of gestational diabetes and the early detection of glucose intolerance and diabetes mellitus.

[Evaluation of diabetes knowledge in patients with insulin-dependent diabetes mellitus. Influential factors and analysis of its relation with blood glucose control]. / Evaluación del nivel de conocimientos diabetológicos en pacientes con diabetes mellitus insulinodependientes. Factores influyentes y análisis de la relación con el control glucémico.

The level of diabetes education has been evaluated by means of a test questionnaire with 62 items in a group of 57 insulin-dependent Diabetes Mellitus (type I) patients who were cared for at a Hospital Diabetes Unit for a least six months prior the study. We observed that only 60% of our patients had an acceptable diabetes education. Our educational programme seems to be efficient for patients between 20 and 40 years old with a High School or University degree, although we think that the educational method should be changed for older or less educated patients. Moreover, we have analyzed the possible influence of diabetes education on the glycemic control, both globally, and in specific areas. We observed a significantly lower MBG in the patient group with a higher level of diabetes knowledge. The MBG and HbA1c values correlate with training in blood glucose autoanalysis.