Management of overt diabetes (DM) and gestational diabetes (GDM)

This algorithm includes a step-by-step screening, diagnostic and therapeutic approach for pregnant diagnosed with gestational diabetes mellitus (GDM) or overt diabetes mellitus (DM). The first steps include common management for both cases  whereas the last ones describe the pharmacological therapy in each case (initiation and/or modification of medication already used) according to the Endocrine Society (ES - USA) Guidelines, published in 2013.

  • Start with instructions about vitamin and mineral supplements

Map: Management of overt diabetes (DM) and gestational diabetes (GDM) (305)
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  • Φαρμακευτική θεραπεία-βήμα 1 - περιλαμβάνει υδροκορτιζόνη;
  • Mechanism of action of GTN
  • El padre le dice a su hijo.
  • Ναι!
  • Jonah vai pedir dinheiro à mãe.
  • Παίρνετε τα αποτελέσματα των εργαστηριακών εξετάσεων και των ακτινογραφιών
  • Εθανόλη
  • The onset
  • Terbutaline (SABA)
  • Λάθος!
  • Vão falar sobre ir de férias.
  • peritonitis
  • Τρόπος ζωής του ασθενούς
  • Waiting the resource
  • Warfarin may be commenced as an alternative to apixaban
  • Preparation of liquid cultures
  • If you use antacids, it is better to combine them with alginates
  • Root Node
  • Pertinent negatives
  • ΑΠΟΜΟΝΩΣΗ DNA ΚΑΙ ΑΛΥΣΙΔΩΤΗ ΑΝΤΙΔΡΑΣΗ ΠΟΛΥΜΕΡΑΣΗΣ (PCR)
  • Treatment
  • Root Node
  • Ionuț are 30 de ani și locuiește cu mama sa la Craiova.
  • Ramipril (ACE inhibitor)
  • He will argue with Callie.
  • MSA
  • CT Scan
  • Privacy risk
  • Afterload
  • Mechanism of action of GTN
  • Μη φαρμακευτικές θεραπείες
  • Παίρνετε τα αποτελέσματα των εργαστηριακών εξετάσεων και των ακτινογραφιών
  • LAB SAFETY
  • Βιάστηκες!
  • Further developments
  • Decreased levels of HDL
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline
  • 5nm to 100μm
  • Waiting the resource
  • Ethanol
  • Increased LDL uptake in hepatocytes
  • ΑΣΦΑΛΕΙΑ ΣΤΟ ΕΡΓΑΣΤΗΡΙΟ
  • Amplificarea ADN-ului
  • Option 1
  • Tele-Physical Examination
  • Resultados del cariotipo
  • Mechanism of action of GTN
  • Γενικές συμβουλές για την οστεοαρθρίτιδα γόνατος
  • Digoxin (digitalis, positive inotropic drug)
  • Un microscopio que emplea una fuente de fluorescencia para ampliar objetos
  • Διάχυση
  • The patient will be dissatisfied, and might not come to the next appointment and you will lose the follow up. You will also not have enough data about patient’s progress.
  • Υπέρηχο κοιλιάς
  • Mechanism of action of GTN
  • CT Scan
  • Afterload
  • how do you feel trying to lift your left arm, is it difficult?
  • Chief complaint
  • Montelukast
  • CELL DIVISION
  • Fluticasone (glucocorticoid)
  • Η ασθενής δεν έρχεται στην επίσκεψη παρακολούθησης
  • Allow the woman with the umbrella to decide how she can best help
  • Salmeterol (LABA)
  • Management of overt diabetes (DM) and gestational diabetes (GDM)

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