{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T13:44:44Z","timestamp":1762955084273},"reference-count":60,"publisher":"FapUNIFESP (SciELO)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Bras Endocrinol Metab"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:p>O tratamento do diabetes gestacional \u00e9 importante para evitar a morbimortalidade materno-fetal. O objetivo deste artigo \u00e9 descrever o tratamento atualmente dispon\u00edvel para o manejo otimizado da hiperglicemia na gesta\u00e7\u00e3o e sugerir um algoritmo de tratamento multidisciplinar. A terapia nutricional \u00e9 a primeira op\u00e7\u00e3o de tratamento para as gestantes, e a pr\u00e1tica de exerc\u00edcio f\u00edsico leve a moderado deve ser estimulada na aus\u00eancia de contraindica\u00e7\u00f5es obst\u00e9tricas. O tratamento medicamentoso est\u00e1 recomendado quando os alvos glic\u00eamicos n\u00e3o s\u00e3o atingidos ou na presen\u00e7a de crescimento fetal excessivo \u00e0 ultrassonografia. O tratamento tradicional do diabetes gestacional \u00e9 a insulinoterapia, embora mais recentemente a metformina venha sendo considerada uma op\u00e7\u00e3o segura e eficaz. A monitoriza\u00e7\u00e3o do tratamento \u00e9 realizada com aferi\u00e7\u00e3o da glicemia capilar e com avalia\u00e7\u00e3o da circunfer\u00eancia abdominal fetal por meio de ultrassonografia obst\u00e9trica a partir da 28\u00aa semana de gesta\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/s0004-27302011000700002","type":"journal-article","created":{"date-parts":[[2012,3,16]],"date-time":"2012-03-16T15:06:28Z","timestamp":1331910388000},"page":"435-445","source":"Crossref","is-referenced-by-count":13,"title":["Diabetes gestacional: um algoritmo de tratamento multidisciplinar"],"prefix":"10.1590","volume":"55","author":[{"given":"Let\u00edcia Schwerz","family":"Weinert","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra Pinho","family":"Silveiro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brasil; Hospital de Cl\u00ednicas de 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