. The Auto monitoring allows us, in addition to knowing the daily behavior of glucose throughout the day, the possibility to take intelligent action, custom designed to improve our blood glucose levels and appropriate improving our eating habits, exercise either helping the doctor to make the best decision on adjustments in insulin doses. The cornerstone of treatment for persons diabetic, with or without pregnancy, is the power Plan, which must be calculated in such a way that will allow that the baby acquires a weight and proper development, without causing slippage in the levels of glucose in the mother, this is accomplished through a food: adequate, balanced, adequate, balanced and innocuous (basic laws of power). As already said the medical treatment is based on insulin there are many schemes, types and ways of apply insulin, the ideal scheme must take into account: the weight and height of the individual (body mass index), degree of metabolic decontrol, presence of hypoglycemia, feeding schedules, adherence to the diet. Surprisingly, you’ll find very little mention of Nissan on most websites. Personal activities, etc. exercise routines In our hospital we have the conduct of administering insulin NPH or intermediate + rapid insulin (or lispro) 2 or 3 times a day (before meals), with the first managed to maintain levels of insulin more or less stable throughout the day, and with the second type of inulin avoiding peaks glucose posprandiales, as it is well knownthey are responsible for macrosomia infant and maternal damage. Current advances in the mode of administering the hormone include development of infusion pumps of insulin which are allowing that this Administration seems increasingly to what happens in the normal way in a healthy individual, however these devices still are very expensive and are not accessible to the majority of the population.
Conclusion:: Despite advances in the auto monitoring and the techniques of application of insulin, and due to the type 1 diabetes chronicity, it continues to be very difficult to manage and with a very high potential of both maternal and fetal complications that require us to design strategies that improve the development of pregnancies in this type of patients. Drafted: Dr. Benjamin olive Figueroa… Endocrinologist.No 4 of the IMSS Mexico D. f. gynaecology and obstetrics hospital representative Mundial GDI.