Republica Bolivariana de Venezuela

Universidad Nacional Experimental “Francisco de Miranda”

Área: Ciencias de la Salud – Programa Medicina
Clínica Ginecología y obstetricia

Diabetes
Gestacion IPG:
Martinez Edianes

al
Molina Paola
Mora Liliana
Rodriguez Carlos
Rodríguez León
Punto Fijo, Abril. 2025
Dra. María Goncalves
 Educación para la salud

Alentar el diagnóstico Conocimiento sobre la Importancia del buen

Plan de alimentación
precoz enfermedad control metabólico

Técnicas de Importancia de la
Actividad física Automonitoreo
administración de reclasificación
individualizada glucémico
insulina postparto
 Peso En cada

Control prenatal consulta

● 400 g/sem a partir del II trimestre
• Alto riesgo obstétrico tipo III
• Equipo interdisciplinario en
hospital tipo III o IV
• Consultas cada 15d hasta
las 32sem, luego cada 7d

Presión
arterial y
edema
Descartar síndromes
hipertensivos del
embarazo
Control prenatal
Infecciones
Altura
Realizar gráfico urinarias y
Identificación de riesgos:
uterina
>p90 o <p10, •vaginales
Buscar signos y síntomas
aumento/mes >4 cm • Urocultivo+Antibiograma mensual
• Estudio de secreción
vaginal+frotis/cultivo cervical en
trimestres I y III

Automonitoreo de
los movimientos
fetales
Alarma: <3 movimientos por
hora durante dos horas
consecutivas
Control prenatal
Ecosonograma obstétrico cada 4-6
semanas

• Grande para edad gestacional:

peso estimado >p90
Crecimiento • Pequeño para edad gestacional:
fetal peso estimado <p10
• Circunferencia abdominal >p75

Volumen de • ILA (Phelan) >percentil 90

líquido • <8: Oligoamnios
• >25: Polihidramnios
amniótico
 Control prenatal
A partir de las 28
Perfil biofísico semanas
Velocimetría Doppler
fetal Semanas 28, 32
y 36
Semanas 24 y
1. Movimientos respiratorios
30
fetales Ecocardiografía fetal
2. Movimientos fetales

3. Tono fetal

4. Volumen de líquido amniótico

5. Reactividad cardíaca fetal

Puntuación: 2 (normal), 0 (anormal)
Resultados de alarma: 8/10 con líquido
amniótico disminuido, o <8/10
Control prenatal
Exámenes
Control de la
Antes de las 37 complementarios
Cada 3
madurez fetal semanas meses
• Fosfatidilglicerol (Desde las 35
semanas) • Grupo sanguíneo y Rh
• Velocidad de flujo de arteria
pulmonar fetal • Hematología completa

• Urea, creatinina

• IgG/IgM de rubéola, toxoplasmosis,

citomegalovirus, hepatitis A y B

• HIV, VDRL

• Uroanálisis
Tratamiento
No
farmacológi
 Control metabólico
co
Los valores óptimos de las  Ejercicio físico
glucemias capilares deben ser
inferiores a:  Control nutricional
 Glucemia en ayunas < 95 mg/dl
• Normocalórica, no restrictiva
(5,3 mmol/l). • Con una proporción de hidratos
 Glucemia postprandial 1 hora < de carbono de absorción lenta
140 mg/dl (7,8 mmol/l) (40-50%), proteínas (20%) y
 Glucemia postprandial 2 horas grasas de predominio
monoinsaturado (30-40%)
< 120 mg/dl (6,7 mmol/l).
Tratamiento
Farmacológ
ico
Cuando los objetivos glucémicos no se logran con 1-2
semanas de dieta, ejercicios, se recomienda el tratamiento
farmacológico.

Insulina
• Insulinas humanas (Regular y/o • Estándar de oro
NPH) • No cruza la barrera
• Análogos de acción rápida (Lispro placentaria
y Aspart) • Glucemia en ayunas < 95
• Análogos de acción lenta (Glargina mg/dl
y Detemir) • Glucemia postprandial 2
horas < 120 mg/dl
 Tratamiento
Farmacológ
ico
Hipoglucemiant
es orales
Glibenclamida Metformina
Dosis: de inicio 2,5 mg con el Dosis: 500- 850 mg con la comida
desayuno más importante con incrementos
Segunda dosis 5 mg en la cena semanales, en dosis divididas en 1-3
Dosis máxima 20 mg/día tomas al día,
o Atraviesa la barrera Dosis máxima: 2000- 2500
placentaria o Atraviesa
mg/día la barrera
o Contraindicado en pacientes placentaria
con alteración de la función o Contraindicado en pacientes
renal y/o hepática. con alteración de la función
renal y/o hepática.
o Efectos adversos:
diarrea, flatulencias, cólicos
¡ Gracia
s por su
atenció
n!
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 Table of contents

0 History 0 Events
1 You can describe
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2 You can describe
the topic of the
section
Participat
0 Goals 0 ion
3 You can describe
the topic of the
section
4 You can describe
the topic of the
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Hosting local events
Venus
Venus has a very beautiful name
and is the second planet from the
Sun

Mercury
Mercury is the closest planet to the
Sun and the smallest in the Solar
System
Share the knowledge
Mercury
It’s the closest planet to the Sun
and the smallest in the Solar
System
Venus
Venus has a beautiful name and is
the second planet from the Sun

Mars
Despite being red, Mars is actually
a cold place. It’s full of iron oxide
dust
 0
1
History
You can enter a
subtitle here if you
need it
 Some history
● Mercury is the closest planet to the Sun and the smallest
one in the entire Solar System. This planet's name has
nothing to do with the liquid metal, since Mercury was
named after the Roman messenger god. Despite being
closer to the Sun than Venus, its temperatures aren't as
terribly hot as that planet's
● Speaking of craters, many of them were named after artists
or authors who made significant contributions to their
respective fields. Mercury takes a little more than 58 days to
complete its rotation, so try to imagine how long days must
be there!
About stomach
cancer
Do you know what helps you make your point
clear? Lists like this one:
●They’re simple
●You can organize your ideas clearly
●You’ll never forget to buy milk!
And the most important thing: the audience
won’t miss the point of your presentation
 Main goals
Venus Mercury
Venus is the second Mercury is the closest
planet from the Sun planet to the Sun

Mars Jupiter
Despite being red, Jupiter is the biggest
Mars is a very cold planet of them all
place
 How to help
Neptune Saturn Venus
Neptune is far Saturn was Venus has a
away from Earth named after a beautiful name
Roman god

Mars Jupiter Mercury

Mars is actually a Jupiter is the It’s the closest
very cold place biggest planet planet to the Sun
Aweso
me
words
“This is a quote,
words full of wisdom
that someone
important said and
can make the reader
get inspired.”
—Someone Famous
A picture is
worth a
thousand
words
Images
always
reinforce
the
concept
Images reveal large amounts
of data, so remember: use an
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Your audience will appreciate
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Stomach cancer symptoms

Appetite Venus is the second planet from the Sun

loss
Weight Mercury is the closest planet to the Sun
loss
Acidity Despite being red, Mars is a cold place

Nausea Jupiter is the biggest planet in the Solar

System
 743,
892
Big numbers catch your
audience’s attention and support
the topic
9,200,000
cases
Saturn is a gas giant and has

67,700 rings

this year
The Sun is a bright star

24h 37m
23s
Neptune is far away from Earth
 Some percentages

25 75
% %
55
Venus % Mars
Venus has a Mars is actually a
beautiful name Mercury cold place

It’s the closest

planet to the Sun
Desktop
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 Where will the events take
place? Mercur
Venus y
Venus has a Mercury is a
beautiful small planet
name

Jupiter Mars
Jupiter is the Mars is a very
biggest planet cold place
 Event planning
0 0 0 0
1 2 3 4
Neptun
e Saturn Jupiter Mars
Neptune is far Saturn is the Jupiter is the Mars is a very
away from ringed planet biggest planet cold place
Earth
How to treat cancer
Sun

Venus Mercury
Venus has a It’s the closest
beautiful name planet to the Sun
Annual events in the world
Jupiter
It’s the biggest
planet in the Solar
System

Venus
Venus is the second
planet from the Sun

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 Our team

John Lidia
Stone Alvarez
You can talk a bit You can talk a bit
about this person about this person
0 Events
2 You can enter a
subtitle here if you
need it
 Awareness month: plan
November
Mo Tu W Th Fri Sa Su Venus
n e ed u t n Venus has a
beautiful name
1 2 3 4 5 6
Mercur
7 8 9 10 11 12 13
y
14 15 16 17 18 19 20
It’s the closest
21 22 23 24 25 26 27 planet to the
Sun
28 29 30
 Other cancers
Jupiter Mercury
● You can describe here the ● You can describe here the
characteristics of the characteristics of the
cancer cancer
● You can describe here the ● You can describe here the
characteristics of the characteristics of the
cancer cancer
● You can describe here the ● You can describe here the
characteristics of the characteristics of the
cancer cancer
● You can describe here the ● You can describe here the
characteristics of the characteristics of the
cancer cancer
 Cancer prevention
18 28
% Venus % Jupiter
Venus has a Jupiter is the
beautiful biggest
name planet
23
Mercur 29
% y % Mars
Mercury is a Mars is a
small planet very cold
place
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Treatment process

Venus Venus has a beautiful

name

Jupite
r Jupiter is a gas giant

Mercu
ry Mercury is a small planet
 Care process
Satur Jupite Mercu
Mars n r Venus ry
Mars is a Saturn is the Jupiter is a Venus has a Mercury is a
very cold ringed huge planet nice name small planet
place planet
 Conclusions
Mercury is the closest planet to the Sun and
the smallest one in the Solar System. This
planet's name has nothing to do with the liquid
metal, since Mercury was named after the
Roman messenger god
Venus has a beautiful name and is the second
planet from the Sun. It’s terribly hot, even
hotter than Mercury, and its atmosphere is
extremely poisonous
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