[A model for medical care of gestational diabetes]

Our approach to taking care of 122 diabetic pregnant women was presented. At first, they were hospitalized in the Pathological Pregnancy Ward. An intensive insulin therapy (human insulin) was initiated and all the patients were educated. The pregnant appeared as an outpatient every fortnight within the first part of pregnancy and every seven to ten days in the second one. They were hospitalized for a few days in 12th and 24th week of pregnancy and from 36th/37th week until delivery. Unfortunately, their first arrival to our center was too late, usually with diabetes out of control. There were 3 miscarriages (2.4%), 111 newborns were in a satisfactory condition (91%), 4 died (3.3%), congenital malformations were found in four others (3.3%). A successful course of pregnancy was dependent upon a proper care taken of patients early enough, good cooperation with them and related with it satisfactory metabolic control of diabetes.