{"id":18951,"date":"2024-05-27T16:01:13","date_gmt":"2024-05-27T15:01:13","guid":{"rendered":"https:\/\/diabet.fr\/os-diabetes\/diabetes-gestacional\/"},"modified":"2024-12-25T22:48:46","modified_gmt":"2024-12-25T21:48:46","slug":"diabetes-gestacional","status":"publish","type":"page","link":"https:\/\/diabet.fr\/pt-pt\/diabetes\/diabetes-gestacional\/","title":{"rendered":"Diabetes gestacional"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"18951\" class=\"elementor elementor-18951 elementor-10767\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-346d4284 elementor-section-full_width hero elementor-section-height-default elementor-section-height-default\" data-id=\"346d4284\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-34597a12\" data-id=\"34597a12\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t<div class=\"elementor-element elementor-element-54c13e1 e-flex e-con-boxed e-con e-parent\" data-id=\"54c13e1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-156e417 elementor-widget elementor-widget-heading\" data-id=\"156e417\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><span class=\"color-mauve\">Diabetes<\/span> gestacional<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8716756 elementor-align-center elementor-widget elementor-widget-breadcrumbs\" data-id=\"8716756\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Diabet&#039;<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-16df0832 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-invisible\" data-id=\"16df0832\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-aea29d4\" data-id=\"aea29d4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-da2aa29 elementor-widget elementor-widget-image\" data-id=\"da2aa29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/diabet.fr\/wp-content\/uploads\/pregnant-woman-with-ginecologist-in-the-office.webp\" class=\"attachment-large size-large wp-image-18922\" alt=\"diab\u00e8te gestationnel\" srcset=\"https:\/\/diabet.fr\/wp-content\/uploads\/pregnant-woman-with-ginecologist-in-the-office.webp 2000w, https:\/\/diabet.fr\/wp-content\/uploads\/pregnant-woman-with-ginecologist-in-the-office-300x200.webp 300w, https:\/\/diabet.fr\/wp-content\/uploads\/pregnant-woman-with-ginecologist-in-the-office-768x512.webp 768w, https:\/\/diabet.fr\/wp-content\/uploads\/pregnant-woman-with-ginecologist-in-the-office-1536x1025.webp 1536w\" sizes=\"(max-width: 800px) 100vw, 800px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<aside class=\"elementor-element elementor-element-2bb3a6c e-flex e-con-boxed e-con e-parent\" data-id=\"2bb3a6c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-10ac2af e-con-full e-flex e-con e-child\" data-id=\"10ac2af\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-955b5dc elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"955b5dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Alguns <span class=\"color-violet\">n\u00fameros<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2ab4595 e-con-full e-flex e-con e-child\" data-id=\"2ab4595\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-76c8a0f elementor-widget elementor-widget-heading\" data-id=\"76c8a0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">O diabetes gestacional est\u00e1 se tornando cada vez mais comum.<\/p>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0d32eb3 e-flex e-con-boxed e-con e-child\" data-id=\"0d32eb3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a9a763a e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"a9a763a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1744936 elementor-widget__width-auto data elementor-widget elementor-widget-heading\" data-id=\"1744936\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">+100 mil<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-368e9e5 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"368e9e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">casos na Fran\u00e7a\/ano<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-34b596a e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"34b596a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:800}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-13bff7f elementor-widget__width-auto data elementor-widget elementor-widget-heading\" data-id=\"13bff7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">16,4%<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21c775b elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"21c775b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">gravidezes<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/aside>\n\t\t<main class=\"elementor-element elementor-element-ba47ad2 main e-flex e-con-boxed e-con e-parent\" data-id=\"ba47ad2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3de8e67 elementor-widget elementor-widget-text-editor\" data-id=\"3de8e67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>O que \u00e9 o diabetes gestacional?<\/h2>\n<p>O <strong>diabetes gestacional<\/strong>, tamb\u00e9m conhecido como <strong>diabetes da gravidez<\/strong>, \u00e9 uma <strong>doen\u00e7a metab\u00f3lica<\/strong> caracterizada por <strong>hiperglicemia<\/strong> (n\u00edvel elevado de a\u00e7\u00facar no sangue) que surge pela <strong>primeira vez<\/strong> durante a gesta\u00e7\u00e3o. Esta <strong>patologia<\/strong> ocorre geralmente no segundo ou terceiro trimestre e muitas vezes desaparece ap\u00f3s o parto. Trata-se de um <strong>dist\u00farbio da toler\u00e2ncia<\/strong> \u00e0 glicose espec\u00edfico da gravidez, afetando pacientes que n\u00e3o eram previamente diab\u00e9ticas.  <\/p>\n<p>As altera\u00e7\u00f5es hormonais durante a gravidez induzem uma <strong>resist\u00eancia \u00e0 insulina<\/strong>. Imagine que a <strong>insulina<\/strong> \u00e9 uma chave que permite que a <strong>glicose<\/strong> entre nas c\u00e9lulas do corpo. Com o diabetes gestacional, essa chave funciona de maneira menos eficaz, impedindo que a glicose penetre nas c\u00e9lulas para ser utilizada como fonte de energia. Como resultado, o a\u00e7\u00facar se acumula no sangue, levando a um <strong>aumento da glicemia<\/strong>.   <\/p>\n<h2>Qual \u00e9 a preval\u00eancia do diabetes gestacional?<\/h2>\n<p>A preval\u00eancia do diabetes gestacional na Fran\u00e7a est\u00e1 em <strong>aumento<\/strong>. Ela passou de 10,8% em 2016 para 16,4% em 2021. Este aumento pode ser explicado por diversos <strong>fatores<\/strong>, incluindo o envelhecimento da idade materna, o aumento do <strong>sobrepeso<\/strong> e da obesidade entre mulheres em idade reprodutiva, bem como melhores ferramentas diagn\u00f3sticas. Atualmente, estima-se cerca de 100.000 novos casos de desenvolvimento de diabetes gestacional por ano.   <\/p>\n<h2>Por que realizar um teste de glicemia para detectar diabetes gestacional?<\/h2>\n<p>O rastreamento do <strong>diabetes gestacional<\/strong> \u00e9 essencial para prevenir as <strong>complica\u00e7\u00f5es<\/strong> maternas e fetais. A <a href=\"\">glicemia em jejum<\/a> (n\u00edvel de a\u00e7\u00facar no sangue medido ap\u00f3s um per\u00edodo de jejum) \u00e9 um indicador-chave para detectar a <strong>hiperglicemia<\/strong>. Um n\u00edvel anormalmente elevado de <strong>a\u00e7\u00facar<\/strong> pode passar despercebido, pois o diabetes gestacional \u00e9 muitas vezes assintom\u00e1tico.  <\/p>\n<p>Ao realizar uma glicemia, o <strong>m\u00e9dico<\/strong> pode identificar rapidamente as pacientes que necessitam de um <strong>manejo<\/strong> espec\u00edfico. De acordo com as <strong>recomenda\u00e7\u00f5es de boas pr\u00e1ticas<\/strong>, o rastreamento \u00e9 recomendado em gestantes de risco, mas tamb\u00e9m de forma sistem\u00e1tica entre a 24\u00aa e a 28\u00aa semanas de gesta\u00e7\u00e3o. <\/p>\n<p>O <a href=\"https:\/\/diabet.fr\/examens\/prise-de-sang\/hgpo\/\">teste de TTGO<\/a> (Teste de Toler\u00e2ncia \u00e0 Glicose Oral) \u00e9 o exame de refer\u00eancia para o diagn\u00f3stico de diabetes gestacional. Consiste na medi\u00e7\u00e3o da <strong>glicemia<\/strong> em jejum, e uma e duas horas ap\u00f3s a ingest\u00e3o de 75 g de glicose. Os objetivos glic\u00eamicos s\u00e3o espec\u00edficos:  <\/p>\n<ul>\n<li>Ap\u00f3s 8 horas de jejum: deve ser inferior a <strong>0,92 g\/L<\/strong>.<\/li>\n<li>Uma hora ap\u00f3s a carga de glicose: inferior a <strong>1,80 g\/L<\/strong>.<\/li>\n<li>Duas horas depois: inferior a <strong>1,53 g\/L<\/strong>.<\/li>\n<\/ul>\n<p>Este exame permite confirmar o <strong>diagn\u00f3stico<\/strong> de diabetes gestacional e propor uma conduta terap\u00eautica adequada, conforme as recomenda\u00e7\u00f5es do Col\u00e9gio Nacional de Ginecologistas, da Sociedade Franc\u00f3fona de Diabetes e dos Obstetras Franceses.<\/p>\n<h2>Quais s\u00e3o os sintomas do diabetes gestacional?<\/h2>\n<p>O <strong>diabetes gestacional<\/strong> \u00e9 frequentemente silencioso, tornando sua triagem sistem\u00e1tica ainda mais crucial. No entanto, alguns sinais podem servir de alerta: <\/p>\n<ul>\n<li><strong>Sede intensa<\/strong> e <strong>vontade frequente de urinar<\/strong>: O organismo tenta eliminar o excesso de <strong>glicose<\/strong> pelos rins.<\/li>\n<li><strong>Fadiga incomum<\/strong>: As c\u00e9lulas carecem de energia devido ao uso ineficaz do a\u00e7\u00facar.<\/li>\n<li><strong>Vis\u00e3o turva<\/strong>: A hiperglicemia pode afetar temporariamente a vis\u00e3o.<\/li>\n<li><strong>Infec\u00e7\u00f5es recorrentes<\/strong>: Notadamente infec\u00e7\u00f5es urin\u00e1rias ou candid\u00edase.<\/li>\n<\/ul>\n<p>Os <strong>obstetras<\/strong> ressaltam a import\u00e2ncia de consultar assim que esses sinais surgirem. No entanto, essas manifesta\u00e7\u00f5es n\u00e3o s\u00e3o espec\u00edficas e podem ser atribu\u00eddas \u00e0s altera\u00e7\u00f5es fisiol\u00f3gicas normais da gravidez. <\/p>\n<h2>O que causa o diabetes durante a gravidez?<\/h2>\n<p>O <strong>diabetes gestacional<\/strong> pode causar v\u00e1rias <strong>consequ\u00eancias<\/strong> durante a gesta\u00e7\u00e3o. Para a <strong>m\u00e3e<\/strong>, ele aumenta o risco de desenvolver: <\/p>\n<ul>\n<li>Uma <strong>hipertens\u00e3o arterial<\/strong> gestacional.<\/li>\n<li>Uma <strong>pr\u00e9-ecl\u00e2mpsia<\/strong>, uma <strong>patologia<\/strong> grave caracterizada por hipertens\u00e3o associada a comprometimento renal.<\/li>\n<li>Um excesso de <strong>l\u00edquido amni\u00f3tico<\/strong> (hidramnio), que pode resultar em um parto prematuro.<\/li>\n<li>Infec\u00e7\u00f5es urin\u00e1rias frequentes.<\/li>\n<\/ul>\n<p>Para o <strong>feto<\/strong>, a <strong>hiperglicemia<\/strong> materna tem repercuss\u00f5es significativas:<\/p>\n<ul>\n<li>O <strong>a\u00e7\u00facar<\/strong> em excesso atravessa a placenta, estimulando o p\u00e2ncreas fetal a produzir mais <strong>insulina<\/strong>.<\/li>\n<li>Esta hiperinsulinemia fetal favorece um crescimento excessivo, levando a uma <strong>macrossomia<\/strong> (peso superior a 4 kg).<\/li>\n<li>Um <strong>peso elevado do beb\u00ea<\/strong> aumenta a probabilidade de um parto dif\u00edcil, podendo necessitar de uma <strong>cesariana<\/strong>.<\/li>\n<li>Ap\u00f3s o nascimento, o rec\u00e9m-nascido pode apresentar dist\u00farbios metab\u00f3licos, como uma <strong>hipoglicemia neonatal<\/strong>.<\/li>\n<\/ul>\n<p>Crian\u00e7as <strong>nascidas<\/strong> de m\u00e3es diab\u00e9ticas tamb\u00e9m apresentam um risco aumentado de desenvolver <strong>diabetes tipo 2<\/strong> mais tarde na vida.<\/p>\n<h2>Quais s\u00e3o os riscos para o beb\u00ea do diabetes gestacional?<\/h2>\n<p>O <strong>diabetes gestacional<\/strong> pode ter v\u00e1rios impactos no <strong>beb\u00ea<\/strong>:<\/p>\n<ul>\n<li><strong>Macrosomia fetal<\/strong>: Um peso elevado (&gt; 4 kg) aumenta os riscos de um <strong>parto dif\u00edcil<\/strong>.<\/li>\n<li><strong>Distocia de ombros<\/strong>: Situa\u00e7\u00e3o em que os ombros do rec\u00e9m-nascido ficam presos ap\u00f3s a sa\u00edda da cabe\u00e7a, constituindo uma emerg\u00eancia obst\u00e9trica.<\/li>\n<li><strong>Hipoglicemia neonatal<\/strong>: Devido ao excesso de <strong>insulina<\/strong> produzido em resposta \u00e0 hiperglicemia materna.<\/li>\n<li><strong>Dificuldade respirat\u00f3ria<\/strong>: maturidade pulmonar \u00e0s vezes atrasada.<\/li>\n<li><strong>Icter\u00edcia neonatal<\/strong>: Hip\u00e9rbilirrubinemia devido a uma produ\u00e7\u00e3o aumentada de gl\u00f3bulos vermelhos.<\/li>\n<li>Risco aumentado de <strong>obesidade<\/strong> e de <strong>diabetes tipo 2<\/strong> na idade adulta.<\/li>\n<\/ul>\n<p>Esses riscos justificam uma vigil\u00e2ncia aumentada do lactente, conforme recomendado pelas <strong>diretrizes de boas pr\u00e1ticas<\/strong>. A implementa\u00e7\u00e3o de <strong>medidas<\/strong> preventivas desde a gesta\u00e7\u00e3o contribui para a sa\u00fade futura da crian\u00e7a. <\/p>\n<h2>Quais s\u00e3o os sinais de diabetes gestacional?<\/h2>\n<p>Al\u00e9m dos sintomas mencionados anteriormente, alguns sinais cl\u00ednicos podem indicar um <strong>diabetes gestacional<\/strong>:<\/p>\n<ul>\n<li><strong>Ganho ponderal excessivo<\/strong> da <strong>m\u00e3e<\/strong>.<\/li>\n<li><strong>Press\u00e3o arterial elevada<\/strong>.<\/li>\n<li>Altera\u00e7\u00e3o glic\u00eamica nos exames.<\/li>\n<li>Ultrassonografia revelando um <strong>feto<\/strong> com tamanho ou massa superior ao normal para a idade gestacional.<\/li>\n<\/ul>\n<p>Deve-se prestar aten\u00e7\u00e3o especial \u00e0s pacientes que apresentam essa sintomatologia, a fim de implementar uma triagem e uma <strong>abordagem terap\u00eautica<\/strong> adequadas.<\/p>\n<h2>Quais s\u00e3o as causas do diabetes gestacional?<\/h2>\n<p>O <strong>diabetes<\/strong> \u00e9 principalmente causado pelas altera\u00e7\u00f5es hormonais da gravidez que induzem uma <strong>resist\u00eancia \u00e0 insulina<\/strong>. Os horm\u00f4nios produzidos pela placenta, como o horm\u00f4nio lactog\u00eanio placent\u00e1rio, o cortisol e os estrog\u00eanios, diminuem a efic\u00e1cia da <strong>insulina<\/strong>. <\/p>\n<p>V\u00e1rios <strong>fatores de risco<\/strong> aumentam a probabilidade de desenvolvimento desta <strong>patologia<\/strong>:<\/p>\n<ul>\n<li><strong>Sobrepeso<\/strong> ou obesidade (<strong>IMC acima<\/strong> de 25).<\/li>\n<li>Idade materna avan\u00e7ada (mais de 35 anos).<\/li>\n<li>Hist\u00f3rico familiar de <strong>diabetes tipo 2<\/strong>.<\/li>\n<li>Hist\u00f3rico pessoal de <strong>diabetes gestacional<\/strong> ou de <strong>diabetes pr\u00e9vio<\/strong>.<\/li>\n<li>Nascimento anterior de uma crian\u00e7a com mais de 4 kg.<\/li>\n<li><strong>Dist\u00farbios de toler\u00e2ncia<\/strong> \u00e0 glicose identificados antes da gravidez.<\/li>\n<li>Etnia (certas popula\u00e7\u00f5es apresentam maior risco).<\/li>\n<\/ul>\n<p>Compreender essas causas permite que as <strong>gestantes<\/strong> e os profissionais de sa\u00fade tomem <strong>medidas<\/strong> preventivas eficazes.<\/p>\n<h2>Como \u00e9 organizado o rastreamento do diabetes gestacional?<\/h2>\n<p>A pesquisa <strong>do diabetes gestacional<\/strong> \u00e9 recomendada para todas as pacientes em risco e \u00e9 realizada em v\u00e1rias etapas:<\/p>\n<ol>\n<li><strong>Glicemia venosa em jejum<\/strong> j\u00e1 no primeiro trimestre para mulheres com fatores de risco.\n<ul>\n<li>Se estiver acima de <strong>0,92 g\/L<\/strong> mas abaixo de <strong>1,20 g\/L<\/strong>, um <strong>teste de TOTG<\/strong> \u00e9 prescrito.<\/li>\n<li>Se for superior ou igual a <strong>1,20 g\/L<\/strong>, isso indica diabetes pr\u00e9-existente.<\/li>\n<\/ul>\n<\/li>\n<li>Entre a 24\u00aa e a 28\u00aa semana de gesta\u00e7\u00e3o, realiza\u00e7\u00e3o do <strong>TOTG<\/strong> de 75 g para todas as mulheres ainda n\u00e3o testadas.\n<ul>\n<li>Medi\u00e7\u00e3o da <strong>glicemia<\/strong> em jejum, seguida de uma e duas horas ap\u00f3s a ingest\u00e3o de 75 g de <strong>glicose<\/strong>.<\/li>\n<li>Diagn\u00f3stico de <strong>diabetes gestacional<\/strong> se pelo menos um dos seguintes valores for atingido ou ultrapassado:\n<ul>\n<li>Em jejum: <strong>0,92 g\/L<\/strong>.<\/li>\n<li>\u00c0 1 hora: <strong>1,80 g\/L<\/strong>.<\/li>\n<li>\u00c0s 2 horas: <strong>1,53 g\/L<\/strong>.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p>Esta pesquisa, conforme as <strong>recomenda\u00e7\u00f5es de boas pr\u00e1ticas<\/strong>, permite uma <strong>abordagem<\/strong> precoce para reduzir suas consequ\u00eancias.<\/p>\n<h2>Qual \u00e9 o n\u00edvel normal de glicemia para gestantes?<\/h2>\n<p>Na <strong>gestante<\/strong>, os objetivos glic\u00eamicos s\u00e3o mais rigorosos para proteger o <strong>feto<\/strong>:<\/p>\n<ul>\n<li><strong>Em jejum<\/strong>: glicemia inferior a <strong>0,92 g\/L<\/strong>.<\/li>\n<li><strong>Uma hora ap\u00f3s a refei\u00e7\u00e3o<\/strong>: inferior a <strong>1,20 g\/L<\/strong>.<\/li>\n<\/ul>\n<p>\u00c9 recomendado que as pacientes com <strong>diabetes gestacional<\/strong> realizem a <strong>automonitoriza\u00e7\u00e3o glic\u00eamica<\/strong> v\u00e1rias vezes ao dia (geralmente de 4 a 6 vezes). Esta pr\u00e1tica garante que os objetivos glic\u00eamicos sejam alcan\u00e7ados e permite ajustar a insulinoterapia em tempo real. <\/p>\n<h2>Quais s\u00e3o os tratamentos para o diabetes durante a gravidez?<\/h2>\n<p>O tratamento do <strong>diabetes gestacional<\/strong> baseia-se em <strong>medidas diet\u00e9ticas e de estilo de vida<\/strong> e, se necess\u00e1rio, em <strong>insulinoterapia<\/strong>:<\/p>\n<ul>\n<li><strong>Alimenta\u00e7\u00e3o equilibrada<\/strong> :\n<ul>\n<li>Divida em 3 refei\u00e7\u00f5es principais e 2 a 3 lanches.<\/li>\n<li>Priorizar os <strong>carboidratos<\/strong> complexos com <strong>\u00edndice glic\u00eamico<\/strong> baixo.<\/li>\n<li>Aumentar o consumo de <strong>fibras<\/strong>.<\/li>\n<li>Limitar os a\u00e7\u00facares de absor\u00e7\u00e3o r\u00e1pida e as gorduras saturadas.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Atividade f\u00edsica regular<\/strong> :\n<ul>\n<li>Praticar caminhada, nata\u00e7\u00e3o ou ioga pr\u00e9-natal, por exemplo<\/li>\n<li>O exerc\u00edcio melhora a sensibilidade \u00e0 <strong>insulina<\/strong> e ajuda a controlar a <strong>glicemia<\/strong>.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Autocontrole glic\u00eamico<\/strong> :\n<ul>\n<li>Medir a glicemia v\u00e1rias vezes ao dia para ajustar a terap\u00eautica, se necess\u00e1rio.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Se essas <strong>medidas<\/strong> n\u00e3o forem suficientes, uma <strong>terapia com insulina<\/strong> pode ser implementada ap\u00f3s consulta com um <strong>endocrinologista especializado em diabetes<\/strong>. Os <strong>antidiab\u00e9ticos orais<\/strong> s\u00e3o geralmente contraindicados durante a gravidez. <\/p>\n<h2>Qual \u00e9 a dieta a ser adotada em caso de diabetes na gestante?<\/h2>\n<p>Em caso de <strong>diabetes gestacional<\/strong>, \u00e9 importante adotar uma <strong>nutri\u00e7\u00e3o<\/strong> adequada para controlar a <strong>glicemia<\/strong>:<\/p>\n<ul>\n<li><strong>Fracionar as refei\u00e7\u00f5es<\/strong>: 3 principais e lanches para evitar picos glic\u00eamicos.<\/li>\n<li><strong>Escolher carboidratos de qualidade<\/strong>: cereais integrais, leguminosas, vegetais verdes.<\/li>\n<li>Aumentar as <strong>fibras<\/strong>: Elas retardam a absor\u00e7\u00e3o do <strong>a\u00e7\u00facar<\/strong>.<\/li>\n<li><strong>Limitar os a\u00e7\u00facares de absor\u00e7\u00e3o r\u00e1pida<\/strong>: Evitar bebidas a\u00e7ucaradas, produtos de pastelaria, e guloseimas.<\/li>\n<li><strong>Consumir prote\u00ednas magras<\/strong>: Carnes brancas, peixes, ovos.<\/li>\n<li><strong>Priorizar as boas gorduras<\/strong>: \u00f3leos vegetais ricos em \u00f4mega-3, nozes.<\/li>\n<li><strong>Hidrata\u00e7\u00e3o adequada<\/strong>: Beber \u00e1gua regularmente ao longo do dia.<\/li>\n<\/ul>\n<p>Uma consulta com uma <strong>nutricionista<\/strong> permite estabelecer um plano alimentar personalizado, em conformidade com as <strong>recomenda\u00e7\u00f5es de boas pr\u00e1ticas<\/strong>.<\/p>\n<h2>Como \u00e9 organizado o acompanhamento da gravidez?<\/h2>\n<p>O acompanhamento de uma gravidez com <strong>diabetes<\/strong> \u00e9 multidisciplinar:<\/p>\n<ul>\n<li><strong>Consultas regulares<\/strong> :\n<ul>\n<li>Acompanhado pelo <strong>m\u00e9dico<\/strong> de fam\u00edlia, o <strong>ginecologista-obstetra<\/strong> e o endocrinologista-diabetologista.<\/li>\n<li>Ajuste do tratamento com base nos resultados da <strong>automonitoriza\u00e7\u00e3o glic\u00eamica<\/strong>.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Ultrassonografias adicionais<\/strong> :\n<ul>\n<li>Monitoramento do crescimento do <strong>feto<\/strong>.<\/li>\n<li>Avalia\u00e7\u00e3o do <strong>l\u00edquido amni\u00f3tico<\/strong>.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Educa\u00e7\u00e3o terap\u00eautica<\/strong> :\n<ul>\n<li>Aprendizagem sobre o manejo do diabetes.<\/li>\n<li>Conselhos sobre <strong>nutri\u00e7\u00e3o<\/strong> e <strong>atividade f\u00edsica regular<\/strong>.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Monitoriza\u00e7\u00e3o espec\u00edfica<\/strong> no final da gravidez:\n<ul>\n<li>Decis\u00e3o sobre o modo de parto (via vaginal ou <strong>cesariana<\/strong>).<\/li>\n<li>Preven\u00e7\u00e3o de <strong>complica\u00e7\u00f5es<\/strong> no parto.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Esse acompanhamento pr\u00f3ximo, conforme \u00e0s <strong>recomenda\u00e7\u00f5es de boas pr\u00e1ticas<\/strong>, assegura um cuidado ideal para a m\u00e3e e a crian\u00e7a.<\/p>\n<h2>Por que \u00e9 importante consultar um m\u00e9dico para diabetes gestacional?<\/h2>\n<p>Consultar um <strong>m\u00e9dico<\/strong> \u00e9 primordial para:<\/p>\n<ul>\n<li><strong>Detectar<\/strong> o <strong>diabetes<\/strong> de forma precoce.<\/li>\n<li>Implementar um <strong>manejo<\/strong> adequado para evitar as <strong>complica\u00e7\u00f5es<\/strong>.<\/li>\n<li><strong>Informar<\/strong> e <strong>acompanhar<\/strong> a paciente durante toda a gesta\u00e7\u00e3o.<\/li>\n<li>Prevenir o desenvolvimento de um <a href=\"https:\/\/diabet.fr\/pt-pt\/os-diabetes\/diabetes-tipo-2\/\">diabetes tipo 2<\/a> subsequente.<\/li>\n<li>Assegurar o acompanhamento p\u00f3s-natal para a <strong>m\u00e3e<\/strong> e a <strong>crian\u00e7a<\/strong>.<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/main>\n\t\t<section class=\"elementor-element elementor-element-5654f78 e-flex e-con-boxed e-con e-parent\" data-id=\"5654f78\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f7df300 e-con-full e-flex e-con e-child\" data-id=\"f7df300\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b6bd933 elementor-widget elementor-widget-heading\" data-id=\"b6bd933\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Suas <span class=\"color-violet\">perguntas<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4812409 e-con-full e-flex e-con e-child\" data-id=\"4812409\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3ad0b99 elementor-widget elementor-widget-n-accordion\" data-id=\"3ad0b99\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"faq\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6160\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-6160\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h3 class=\"e-n-accordion-item-title-text\"> Quais alimentos evitar em caso de diabetes gestacional? <\/h3><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M177 159.7l136 136c9.4 9.4 9.4 24.6 0 33.9l-22.6 22.6c-9.4 9.4-24.6 9.4-33.9 0L160 255.9l-96.4 96.4c-9.4 9.4-24.6 9.4-33.9 0L7 329.7c-9.4-9.4-9.4-24.6 0-33.9l136-136c9.4-9.5 24.6-9.5 34-.1z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-down\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M143 352.3L7 216.3c-9.4-9.4-9.4-24.6 0-33.9l22.6-22.6c9.4-9.4 24.6-9.4 33.9 0l96.4 96.4 96.4-96.4c9.4-9.4 24.6-9.4 33.9 0l22.6 22.6c9.4 9.4 9.4 24.6 0 33.9l-136 136c-9.2 9.4-24.4 9.4-33.8 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6160\" class=\"elementor-element elementor-element-1aaf96b e-con-full e-flex e-con e-child\" data-id=\"1aaf96b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50e1543 elementor-widget elementor-widget-text-editor\" data-id=\"50e1543\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\u00c9 aconselh\u00e1vel evitar:<\/p>\n<ul>\n<li><strong>Bebidas a\u00e7ucaradas<\/strong>: Refrigerantes, sucos de frutas industrializados.<\/li>\n<li><strong>Pastelaria e confeitaria<\/strong>: Bolos, biscoitos, doces.<\/li>\n<li><strong>Produtos \u00e0 base de cereais refinados<\/strong>: p\u00e3o branco, massas brancas, arroz branco.<\/li>\n<li><strong>Alimentos processados<\/strong> ricos em a\u00e7\u00facares adicionados e gorduras saturadas.<\/li>\n<li><strong>Frutas muito doces<\/strong> em grande quantidade: bananas maduras, uvas.<\/li>\n<\/ul>\n<p>Evitar esses alimentos ajuda a manter uma <strong>glicemia<\/strong> est\u00e1vel e a prevenir as <strong>complica\u00e7\u00f5es<\/strong>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6161\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6161\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h3 class=\"e-n-accordion-item-title-text\"> O que comer em caso de diabetes durante a gravidez? <\/h3><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M177 159.7l136 136c9.4 9.4 9.4 24.6 0 33.9l-22.6 22.6c-9.4 9.4-24.6 9.4-33.9 0L160 255.9l-96.4 96.4c-9.4 9.4-24.6 9.4-33.9 0L7 329.7c-9.4-9.4-9.4-24.6 0-33.9l136-136c9.4-9.5 24.6-9.5 34-.1z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-down\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M143 352.3L7 216.3c-9.4-9.4-9.4-24.6 0-33.9l22.6-22.6c9.4-9.4 24.6-9.4 33.9 0l96.4 96.4 96.4-96.4c9.4-9.4 24.6-9.4 33.9 0l22.6 22.6c9.4 9.4 9.4 24.6 0 33.9l-136 136c-9.2 9.4-24.4 9.4-33.8 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6161\" class=\"elementor-element elementor-element-8a5ceda e-con-full e-flex e-con e-child\" data-id=\"8a5ceda\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-03da3e5 elementor-widget elementor-widget-text-editor\" data-id=\"03da3e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Priorize uma dieta equilibrada:<\/p>\n<ul>\n<li><strong>Verduras<\/strong>: br\u00f3colis, espinafre, vagens.<\/li>\n<li><strong>Leguminosas<\/strong>: Lentilhas, gr\u00e3o-de-bico.<\/li>\n<li><strong>Cereais integrais<\/strong>: P\u00e3o integral, arroz integral.<\/li>\n<li><strong>Prote\u00ednas magras<\/strong>: Carne branca, peixe.<\/li>\n<li><strong>Frutas de baixo \u00edndice glic\u00eamico<\/strong>: ma\u00e7\u00e3s, peras.<\/li>\n<li><strong>Latic\u00ednios com baixo teor de gordura<\/strong>: Queijos com baixo teor de gordura.<\/li>\n<li><strong>Gorduras saud\u00e1veis<\/strong>: \u00f3leos vegetais ricos em \u00f4mega-3.<\/li>\n<\/ul>\n<p>Uma <strong>nutri\u00e7\u00e3o<\/strong> equilibrada contribui para um melhor controle glic\u00eamico.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6162\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6162\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h3 class=\"e-n-accordion-item-title-text\"> O diabetes gestacional \u00e9 uma condi\u00e7\u00e3o que requer aten\u00e7\u00e3o m\u00e9dica cuidadosa. Esta condi\u00e7\u00e3o pode aumentar o risco de complica\u00e7\u00f5es tanto para a m\u00e3e quanto para o beb\u00ea, incluindo hipertens\u00e3o e macrossomia fetal. \u00c9 importante monitorar os n\u00edveis de glicose no sangue e seguir as orienta\u00e7\u00f5es m\u00e9dicas para minimizar os riscos associados. <\/h3><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M177 159.7l136 136c9.4 9.4 9.4 24.6 0 33.9l-22.6 22.6c-9.4 9.4-24.6 9.4-33.9 0L160 255.9l-96.4 96.4c-9.4 9.4-24.6 9.4-33.9 0L7 329.7c-9.4-9.4-9.4-24.6 0-33.9l136-136c9.4-9.5 24.6-9.5 34-.1z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-down\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M143 352.3L7 216.3c-9.4-9.4-9.4-24.6 0-33.9l22.6-22.6c9.4-9.4 24.6-9.4 33.9 0l96.4 96.4 96.4-96.4c9.4-9.4 24.6-9.4 33.9 0l22.6 22.6c9.4 9.4 9.4 24.6 0 33.9l-136 136c-9.2 9.4-24.4 9.4-33.8 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6162\" class=\"elementor-element elementor-element-fcffcf4 e-con-full e-flex e-con e-child\" data-id=\"fcffcf4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02cca98 elementor-widget elementor-widget-text-editor\" data-id=\"02cca98\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>O <span class=\"notion-enable-hover\" data-token-index=\"1\">diabetes gestacional<\/span> \u00e9 uma <span class=\"notion-enable-hover\" data-token-index=\"3\">condi\u00e7\u00e3o<\/span> s\u00e9ria. Sem tratamento, pode levar a <span class=\"notion-enable-hover\" data-token-index=\"5\">complica\u00e7\u00f5es<\/span> para a <span class=\"notion-enable-hover\" data-token-index=\"7\">m\u00e3e<\/span> e o <span class=\"notion-enable-hover\" data-token-index=\"9\">beb\u00ea<\/span>. No entanto, com acompanhamento m\u00e9dico adequado e as <span class=\"notion-enable-hover\" data-token-index=\"11\">medidas<\/span> apropriadas, \u00e9 poss\u00edvel controlar a <span class=\"notion-enable-hover\" data-token-index=\"13\">glicemia<\/span> e conduzir a gesta\u00e7\u00e3o de forma saud\u00e1vel.  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6163\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6163\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h3 class=\"e-n-accordion-item-title-text\"> O que causa o diabetes gestacional? <\/h3><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M177 159.7l136 136c9.4 9.4 9.4 24.6 0 33.9l-22.6 22.6c-9.4 9.4-24.6 9.4-33.9 0L160 255.9l-96.4 96.4c-9.4 9.4-24.6 9.4-33.9 0L7 329.7c-9.4-9.4-9.4-24.6 0-33.9l136-136c9.4-9.5 24.6-9.5 34-.1z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-down\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M143 352.3L7 216.3c-9.4-9.4-9.4-24.6 0-33.9l22.6-22.6c9.4-9.4 24.6-9.4 33.9 0l96.4 96.4 96.4-96.4c9.4-9.4 24.6-9.4 33.9 0l22.6 22.6c9.4 9.4 9.4 24.6 0 33.9l-136 136c-9.2 9.4-24.4 9.4-33.8 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6163\" class=\"elementor-element elementor-element-3b6dac0 e-con-full e-flex e-con e-child\" data-id=\"3b6dac0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ad2923a elementor-widget elementor-widget-text-editor\" data-id=\"ad2923a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>O <span class=\"notion-enable-hover\" data-token-index=\"1\">diabetes gestacional<\/span> \u00e9 causado por <span class=\"notion-enable-hover\" data-token-index=\"3\">altera\u00e7\u00f5es hormonais<\/span> que induzem <span class=\"notion-enable-hover\" data-token-index=\"5\">resist\u00eancia \u00e0 insulina<\/span>. Se o p\u00e2ncreas n\u00e3o produzir insulina suficiente para compensar, o <span class=\"notion-enable-hover\" data-token-index=\"7\">insulina<\/span> para compensar, o <span class=\"notion-enable-hover\" data-token-index=\"9\">a\u00e7\u00facar<\/span> se acumula no sangue, resultando em uma <span class=\"notion-enable-hover\" data-token-index=\"11\">hiperglicemia<\/span>. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6164\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6164\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h3 class=\"e-n-accordion-item-title-text\"> O diabetes gestacional pode desaparecer durante a gravidez? <\/h3><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M177 159.7l136 136c9.4 9.4 9.4 24.6 0 33.9l-22.6 22.6c-9.4 9.4-24.6 9.4-33.9 0L160 255.9l-96.4 96.4c-9.4 9.4-24.6 9.4-33.9 0L7 329.7c-9.4-9.4-9.4-24.6 0-33.9l136-136c9.4-9.5 24.6-9.5 34-.1z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-down\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M143 352.3L7 216.3c-9.4-9.4-9.4-24.6 0-33.9l22.6-22.6c9.4-9.4 24.6-9.4 33.9 0l96.4 96.4 96.4-96.4c9.4-9.4 24.6-9.4 33.9 0l22.6 22.6c9.4 9.4 9.4 24.6 0 33.9l-136 136c-9.2 9.4-24.4 9.4-33.8 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6164\" class=\"elementor-element elementor-element-92d24f3 e-con-full e-flex e-con e-child\" data-id=\"92d24f3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3da06ea elementor-widget elementor-widget-text-editor\" data-id=\"3da06ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>O <span class=\"notion-enable-hover\" data-token-index=\"1\">diabetes<\/span> geralmente n\u00e3o desaparece durante a gravidez, mas frequentemente diminui ap\u00f3s o nascimento. Os n\u00edveis hormonais retornam ao normal, reduzindo a <span class=\"notion-enable-hover\" data-token-index=\"3\">resist\u00eancia \u00e0 insulina<\/span>. \u00c9 importante continuar o acompanhamento m\u00e9dico para verificar a normaliza\u00e7\u00e3o glic\u00eamica.  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6165\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6165\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h3 class=\"e-n-accordion-item-title-text\"> Como prevenir o diabetes gestacional? <\/h3><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M177 159.7l136 136c9.4 9.4 9.4 24.6 0 33.9l-22.6 22.6c-9.4 9.4-24.6 9.4-33.9 0L160 255.9l-96.4 96.4c-9.4 9.4-24.6 9.4-33.9 0L7 329.7c-9.4-9.4-9.4-24.6 0-33.9l136-136c9.4-9.5 24.6-9.5 34-.1z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-down\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M143 352.3L7 216.3c-9.4-9.4-9.4-24.6 0-33.9l22.6-22.6c9.4-9.4 24.6-9.4 33.9 0l96.4 96.4 96.4-96.4c9.4-9.4 24.6-9.4 33.9 0l22.6 22.6c9.4 9.4 9.4 24.6 0 33.9l-136 136c-9.2 9.4-24.4 9.4-33.8 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6165\" class=\"elementor-element elementor-element-a87e02c e-con-full e-flex e-con e-child\" data-id=\"a87e02c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cff96c2 elementor-widget elementor-widget-text-editor\" data-id=\"cff96c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Para reduzir o risco, na maioria dos casos recomenda-se:<\/p>\n<ul>\n<li><strong>Manter um peso saud\u00e1vel<\/strong> antes e durante a gravidez.<\/li>\n<li><strong>Adotar uma dieta equilibrada<\/strong> rica em <strong>fibras<\/strong>.<\/li>\n<li><strong>Praticar atividade f\u00edsica regular<\/strong>, adequada \u00e0 gesta\u00e7\u00e3o.<\/li>\n<li><strong>Monitorar o IMC<\/strong> (\u00edndice de massa corporal) e evitar o <strong>excesso de peso<\/strong>.<\/li>\n<li><strong>Consulte um m\u00e9dico<\/strong> para um acompanhamento pr\u00e9-concepcional se houver <strong>fatores de risco<\/strong> presentes.<\/li>\n<\/ul>\n<p>Estas <strong>medidas<\/strong> melhoram a sensibilidade \u00e0 <strong>insulina<\/strong> e ajudam a manter uma <strong>glicemia<\/strong> normal.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Quais alimentos evitar em caso de diabetes gestacional?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"\\u00c9 aconselh\\u00e1vel evitar:\\n\\nBebidas a\\u00e7ucaradas: Refrigerantes, sucos de frutas industrializados.\\nPastelaria e confeitaria: Bolos, biscoitos, doces.\\nProdutos \\u00e0 base de cereais refinados: p\\u00e3o branco, massas brancas, arroz branco.\\nAlimentos processados ricos em a\\u00e7\\u00facares adicionados e gorduras saturadas.\\nFrutas muito doces em grande quantidade: bananas maduras, uvas.\\n\\nEvitar esses alimentos ajuda a manter uma glicemia est\\u00e1vel e a prevenir as complica\\u00e7\\u00f5es.\"}},{\"@type\":\"Question\",\"name\":\"O que comer em caso de diabetes durante a gravidez?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Priorize uma dieta equilibrada:\\n\\nVerduras: br\\u00f3colis, espinafre, vagens.\\nLeguminosas: Lentilhas, gr\\u00e3o-de-bico.\\nCereais integrais: P\\u00e3o integral, arroz integral.\\nProte\\u00ednas magras: Carne branca, peixe.\\nFrutas de baixo \\u00edndice glic\\u00eamico: ma\\u00e7\\u00e3s, peras.\\nLatic\\u00ednios com baixo teor de gordura: Queijos com baixo teor de gordura.\\nGorduras saud\\u00e1veis: \\u00f3leos vegetais ricos em \\u00f4mega-3.\\n\\nUma nutri\\u00e7\\u00e3o equilibrada contribui para um melhor controle glic\\u00eamico.\"}},{\"@type\":\"Question\",\"name\":\"O diabetes gestacional \\u00e9 uma condi\\u00e7\\u00e3o que requer aten\\u00e7\\u00e3o m\\u00e9dica cuidadosa. Esta condi\\u00e7\\u00e3o pode aumentar o risco de complica\\u00e7\\u00f5es tanto para a m\\u00e3e quanto para o beb\\u00ea, incluindo hipertens\\u00e3o e macrossomia fetal. \\u00c9 importante monitorar os n\\u00edveis de glicose no sangue e seguir as orienta\\u00e7\\u00f5es m\\u00e9dicas para minimizar os riscos associados.\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O diabetes gestacional \\u00e9 uma condi\\u00e7\\u00e3o s\\u00e9ria. Sem tratamento, pode levar a complica\\u00e7\\u00f5es para a m\\u00e3e e o beb\\u00ea. No entanto, com acompanhamento m\\u00e9dico adequado e as medidas apropriadas, \\u00e9 poss\\u00edvel controlar a glicemia e conduzir a gesta\\u00e7\\u00e3o de forma saud\\u00e1vel.\"}},{\"@type\":\"Question\",\"name\":\"O que causa o diabetes gestacional?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O diabetes gestacional \\u00e9 causado por altera\\u00e7\\u00f5es hormonais que induzem resist\\u00eancia \\u00e0 insulina. 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O diabetes gestacional, tamb\u00e9m conhecido como diabetes da gravidez, \u00e9 uma doen\u00e7a metab\u00f3lica caracterizada por hiperglicemia (n\u00edvel elevado de a\u00e7\u00facar no sangue) que surge pela primeira vez [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18922,"parent":18750,"menu_order":75,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[12],"folder":[106],"class_list":["post-18951","page","type-page","status-publish","has-post-thumbnail","hentry","tag-soin"],"acf":[],"_links":{"self":[{"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/pages\/18951","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/comments?post=18951"}],"version-history":[{"count":0,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/pages\/18951\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/pages\/18750"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/media\/18922"}],"wp:attachment":[{"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/media?parent=18951"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/tags?post=18951"},{"taxonomy":"folder","embeddable":true,"href":"https:\/\/diabet.fr\/pt-pt\/wp-json\/wp\/v2\/folder?post=18951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}