As in the previous complications predisposing factor is the poor metabolic control and no evidence of exacerbation during pregnancy. Macrovascular The American Society of Cardiology considers the DM as a major risk factor for developing coronary artery disease (strokes) of equal or greater magnitude as smoking, high cholesterol or hypertension. This type of complication is seen more in type 2 diabetes and it will be treated on another occasion, however it should be mentioned that if a woman in this condition you want a pregnancy should receive preconception counseling and autorisacion your doctor, as that This was not only could precipitate a new cardiovascular event but also the function of the heart may not be adequate to tolerate both pregnancy endangering the life of the mother and the baby. Effect on Pregnancy. Due to the potential impact of maternal complications of pregnancy and the baby is designed for the same classification, which helps doctors to establish that people are more or less risk of fetal impairment. This is based on the age at diagnosis of diabetes, the duration of the same, evidence of vascular damage, retinopathy, nephropathy, renal transplantation or previous disease management cardiovasculay the need for insulin during the edmbarazo. Class B: Home of diabetes after 20 years of age and under 10 years.
In these patients vascular damage is still there and need to use insulin. Class C: Start between 10 and 19 years old and 10-19 years duration of DM. Nor is there vascular damage and need insulin management.