alexa Management Of Severe Diabetic Nephropathy In Pregnant Women: A Case Report And Overview Of Literature
ISSN: 2155-6156

Journal of Diabetes & Metabolism
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading
Loading Please wait..
 

5th World Congress on Diabetes & Metabolism
November 03-05, 2014 Embassy Suites Las Vegas, USA

Elaine Christine Dantas Mois?s
Posters: J Diabetes Metab
DOI: 10.4172/2155-6156.S1.027
Abstract
Introduction: Diabetes mellitus complicated with severe diabetic nephropathy significantly increase the risk of adverse events for maternal and fetal health. History and clinical findings: A 24 year-old pregnant woman, first pregnancy, with Type 1 Diabetes Mellitus diagnosed since childhood and with complications such as chronic renal failure associated to hypertension, diabetic retinopathy, anemia and dyslipidemia. Investigation and diagnosis: The laboratory evaluation of patient showed decompensation of glucose levels (glycated haemoglobin of 7.1%), accompanied by chronic renal failure (creatinine 7.2 mg/dl and urea of 203 mg/dl), and anemia (hemoglobin of 8.1 g/dl). The evaluation of ocular funduscopic examination showed diabetic retinopathy with retinal detachment on left eye and retinal ischemia on right eye. Treatment and course: During pregnancy, the patient developed acute exacerbation of chronic renal failure, which required daily hemodialysis. The management was carried out through nutritional support, accompanied by daily glucose monitoring and insulin prescription. In order to control the complications, was prescribed subcutaneous erythropoietin and alpha -methyldopa, furosemide and nifedipine orally. At 29 weeks of gestation age, the patient developed severe hypoglycemia, breast engorgement, placental insufficiency and abnormal fetal hemodynamics, represented by ultrasound Doppler velocimetry changes in the umbilical artery (Resistance Index of 0.78) and ductus venosus (Pulsatility Index of 1.2) respectively. At this time, it was indicated the resolution of pregnancy by cesarean section. The female newborn presented birth weight of 1145 g, Apgar scores of 6 and 9 in one minute and five minutes of life, respectively, showing no significant adverse neonatal events. In the postpartum period, the patient developed acute pulmonary edema which required admission to the intensive care unit and intensification of the dialysis treatment. Patient keeps in clinical follow-up to management of the Type 1 diabetes mellitus and associated complications. Conclusion: The association of daily dialysis to drug management in pregnant women with Type 1 diabetes mellitus complicated with end-stage renal failure is beneficial and can improve maternal and perinatal prognosis.
Biography
Elaine Christine Dantas Mois?s has completed her PhD in 2008 from the Ribeir?o Preto Medical School, University of S?o Paulo. She is a professor in the Department of Gynecology and Obstetrics of this institution. Her work has an emphasis on the following themes: Pharmacokinetics of drugs in pregnant women, placental transfer of drugs, Diabetes Mellitus in pregnant women.
image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords