<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2023000400009</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.2061</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Diabetes Gestacional: Casuística do Hospital da Horta de 2021 - Uma Preocupação Mantida]]></article-title>
<article-title xml:lang="en"><![CDATA[Gestational Diabetes: 2021 Horta&#8217;s Hospital Casuistry - An Heldding Concern Data]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Simas]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veloso]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amorim]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fortes]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Joana Decq]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[Albina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital da Horta Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Horta Açores]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Medicina Geral e Familiar, Aces Loures / Odivelas - Usf Genesis  ]]></institution>
<addr-line><![CDATA[Loures ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital da Horta Serviço de Obstetrícia ]]></institution>
<addr-line><![CDATA[Horta Açores]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>30</volume>
<numero>4</numero>
<fpage>9</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2023000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2023000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2023000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: A diabetes gestacional (DG) é uma complicação frequente na gravidez. Existem evidências da associação entre a hiperglicemia materna e o risco de complicações obstétricas e neonatais. A preocupação no diagnóstico precoce, tem vindo a permitir, entre outros, diminuir essas complicações. O Hospital da Horta tem verificado, com alguma preocupação, uma prevalência desta patologia persistentemente maior do que a dos dados nacionais. O objetivo deste trabalho foi caracterizar a população com DG acompanhada e com parto no hospital em 2021.  Métodos: Estudo retrospetivo das grávidas com DG seguidas em consulta e das grávidas com DG com parto neste hospital. Os dados foram recolhidos do sistema informático hospitalar, registados e gravados numa base de dados. As características demográficas e clínicas das grávidas foram analisadas, assim como as características dos bebés nascidos destas gravidezes.  Resultados: Das grávidas com parto no hospital, 35% tiveram o diagnóstico de DG. Destas 58% tinham entre 30 e 39 anos. Das grávidas com DG seguidas em consulta, 35% tinham IMC de obesidade, e 35% de excesso de peso, sendo os restantes 30% normoponderais. Antecedentes familiares de diabetes mellitus (DM) estavam presentes em 36% das grávidas com DG e 35% tinham apresentado DG em gravidez anterior.  Conclusão: Mantém-se a prevalência elevada de DG nesta instituição, com valores superiores aos dados de Portugal Continental, mostrando-se a importância de uma atenção redobrada para estas grávidas de modo a reduzir o risco de complicações. Embora não tenham sido recolhidos dados suficientes que permitam tirar conclusões quanto a eventuais causas para esta disparidade de resultados, é essencial investigar as mesmas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Gestational diabetes (GD) is a frequent com-plication in pregnancy. There is evidence of an association between maternal hyperglycemia and the risk of obstetric and neonatal complications. The concern with early diagnosis has allowed, among others, to reduce these complications. Horta Hospital has perceived with concern, a persistent higher disease prevalence comparing to national data. The goal of this study was to characterize the population with GD followed and with delivery in the hospital in 2021.  Methods:  Retrospective study of pregnant women with GD followed in medical appointment and pregnant women with GD that delivered in this hospital. Data were collected from the hos-pital computer register and recorded in a database. Demogra-phic and clinical characteristics of the pregnant women were analyzed, as well as the characteristics of the babies born from these pregnancies.  Results:  Of all women who gave birth at hospital, 35% had a diagnosis of GD. In this group, 58% were from 30 to 39 years old. Pregnant women with GD that were followed in medical appointment, had 35% BMI of obesity, 35% overweight, and the remaining 30% had normal weight. Family history of diabetes mellitus (DM) was present in 36% of pregnant women, and 35% had GD in a previous pregnancy.  Conclusion:  The prevalence of GD in this institution remains higher than data from mainland Portugal, showing the importance of increased attention to these pregnant women, in order to reduce the risk of complications. Although not enough data were collected to draw conclusions about possible causes for these results disparity, it is essential to do further investigation.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Açores]]></kwd>
<kwd lng="pt"><![CDATA[Complicações na Gravidez]]></kwd>
<kwd lng="pt"><![CDATA[Diabetes Gestacional]]></kwd>
<kwd lng="pt"><![CDATA[Hiperglicemia.]]></kwd>
<kwd lng="en"><![CDATA[Azores]]></kwd>
<kwd lng="en"><![CDATA[Diabetes, Gestational]]></kwd>
<kwd lng="en"><![CDATA[Hyperglycemia]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy Complications.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dores]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ruas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vicente]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consenso "Diabetes Gestacional" Atualização 2017]]></article-title>
<source><![CDATA[Rev Port Diabetes]]></source>
<year>2017</year>
<volume>12</volume>
<page-range>24-38</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Criteria]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetes Gestacional Evolução dos Critérios de Diagnóstico e Terapêutica]]></article-title>
<source><![CDATA[Rev Port Diabetes]]></source>
<year>2022</year>
<volume>17</volume>
<page-range>47-53</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Massa]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Rangel]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetes gestacional e o im-pacto do actual rastreio]]></article-title>
<source><![CDATA[Acta Med Port]]></source>
<year>2015</year>
<volume>28</volume>
<page-range>29-34</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lobo]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Moura]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetes Gestacional Serão os Atuais Critérios de Diagnóstico Mais Vantajosos?Acta Med]]></article-title>
<source><![CDATA[Port]]></source>
<year>2018</year>
<volume>31</volume>
<page-range>416-24</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ruas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Registo Nacional de Diabetes Gestacional Um Caminho de 18 Anos]]></article-title>
<collab>Grupo de Estudos de Diabetes e Gravidez da Socieda-de Portuguesa de Diabetologia</collab>
<source><![CDATA[Rev Port Diabetes]]></source>
<year>2022</year>
<volume>17</volume>
<page-range>54-62</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Sociedade Portuguesa de Diabetologia.Observatório da Diabetes</collab>
<source><![CDATA[Diabe-tes: Factos e Números - O Ano de 2016, 2017 e 2018]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[SPD]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Simões]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Robalo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Aleixo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetes]]></article-title>
<source><![CDATA[Gestacional nos anos 2000 e]]></source>
<year>2010</year>
<page-range>Retrato</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dores]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ruas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cordeiro]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalheiro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Registo Nacional da Diabetes Gestacional em 2005]]></article-title>
<source><![CDATA[Rev Port Diabetes]]></source>
<year>2008</year>
<volume>3</volume>
<page-range>141-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
