{"id":12853,"date":"2021-09-23T12:44:00","date_gmt":"2021-09-23T09:44:00","guid":{"rendered":"https:\/\/momslab.app\/blog\/?p=2696"},"modified":"2025-06-17T08:47:20","modified_gmt":"2025-06-17T05:47:20","slug":"gestacijski-dijabetes-kako-nastaje-dijagnostika-posljedice","status":"publish","type":"post","link":"https:\/\/momslab.app\/blog\/bs\/gestacijski-dijabetes-kako-nastaje-dijagnostika-posljedice\/","title":{"rendered":"Gestacijski dijabetes \u2013 kako nastaje, dijagnostika, posljedice"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Pojava koja se prema statistici javlja kod skoro 18% \u017eena tokom trudno\u0107e &#8211; pojava gestacijskog dijabetesa kod trudno\u0107e (GSD). I dok se na planiranje trudno\u0107e s dijagnosticiranim dijabetesom (SD) tipa 1 ili 2 \u017eena mo\u017ee pripremiti s posebnom pa\u017enjom, isklju\u010duju\u0107i mogu\u0107nost da nastupi prije nego \u0161to se postigne stabilna kompenzacija metabolizma ugljikohidrata najmanje 2-4 mjeseca prije za\u010de\u0107a, razvoj gestacijskog dijabetesa nije mogu\u0107e sto posto predvidjeti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Potpuno druga\u010dija situacija se stvara kada se dijabetes prvo otkrije kod ve\u0107 trudne \u017eene i predstavlja posljedicu promjena koje se de\u0161avaju u tijelu trudnice. Ipak, znakovi bilo kojih, uklju\u010duju\u0107i hroni\u010dne bolesti kod budu\u0107e majke, u odre\u0111enoj mjeri predstavljaju prijetnju za zdravlje nosive bebe.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"574\" height=\"1024\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-574x1024.jpg\" alt=\"Gestacijski dijabetes tokom trudno\u0107e\" class=\"wp-image-7468\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-574x1024.jpg 574w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-168x300.jpg 168w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-768x1369.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-862x1536.jpg 862w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-1149x2048.jpg 1149w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-56x100.jpg 56w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-252x450.jpg 252w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-673x1200.jpg 673w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-checking-blood-sugar-level-by-using-digital-glucose-meter_11zon-scaled.jpg 1436w\" sizes=\"auto, (max-width: 574px) 100vw, 574px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\">\u0160ta je to dijabetes i kako nastaje<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Da biste razumjeli za\u0161to je dijabetes opasan tokom trudno\u0107e, potrebno je shvatiti \u0161ta ova bolest podrazumijeva. Dijabetes je endokrina bolest kod koje zbog relativnog ili apsolutnog nedostatka insulina u krvi dolazi do hroni\u010dno povi\u0161enog nivoa glukoze. Insulin je protein-peptidni hormon koji proizvodi gu\u0161tera\u010da. Ovaj hormon je odgovoran za odr\u017eavanje normalnog nivoa glukoze u krvi i omogu\u0107ava njen ulazak u \u0107elije tkiva radi njihovog ishranjivanja.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prilikom razvoja dijabetesa dolazi do poreme\u0107aja metaboli\u010dkih procesa. Ovisno o tipu bolesti, tijelo ili gubi osjetljivost na inzulin, ili gu\u0161tera\u010da ne proizvodi dovoljnu koli\u010dinu inzulina. Kao rezultat toga, glukoza se nakuplja u krvi i ne dospijeva u stanice, \u0161to tkiva dovodi do energetske gladi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--1\">Tipovi dijabetesa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Uzimaju\u0107i u obzir razlog zbog kojeg dolazi do poreme\u0107aja prijenosa glukoze, prihva\u0107eno je izdvajanje:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>dijabetes tipa 1 \u2013 razvija se zbog nedostatka inzulina, oboljeli su primorani uzimati lijekove koji sadr\u017ee inzulin jer gu\u0161tera\u010da ne uspijeva proizvesti dovoljnu koli\u010dinu;<\/li>\n\n\n\n<li>Dijabetes tipa 2 &#8211; uzrok njegovog nastanka le\u017ei u inzulinskoj rezistenciji, \u0161to zna\u010di neosjetljivost stanica na hormon unato\u010d njegovoj dovoljnoj koli\u010dini u organizmu, zbog \u010dega ne dolazi do prijenosa glukoze;<\/li>\n\n\n\n<li>gestacijski \u2013 ovaj dijabetes u trudno\u0107i se razvija s njenim nastupanjem i u ve\u0107ini slu\u010dajeva prolazi nakon poro\u0111aja, opasan je za zdravlje majke i ploda.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Stanje koje karakterizira smanjena tolerancija na glukozu naziva se predijabeti\u010dkim i razmatra se odvojeno. Po\u0161to nata\u0161te \u0161e\u0107er ne prelazi granice normale, odstupanje se otkriva nakon optere\u0107enja glukozom.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"200\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2022\/12\/\u0421\u0430\u0445\u0430\u0440\u043d\u044b\u0439-\u0434\u0438\u0430\u0431\u0435\u0442-\u0424\u043e\u0442\u043e1.jpg\" alt=\"Gestacijski dijabetes tokom trudno\u0107e Foto2\" class=\"wp-image-5425\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2022\/12\/\u0421\u0430\u0445\u0430\u0440\u043d\u044b\u0439-\u0434\u0438\u0430\u0431\u0435\u0442-\u0424\u043e\u0442\u043e1.jpg 500w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2022\/12\/\u0421\u0430\u0445\u0430\u0440\u043d\u044b\u0439-\u0434\u0438\u0430\u0431\u0435\u0442-\u0424\u043e\u0442\u043e1-300x120.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2022\/12\/\u0421\u0430\u0445\u0430\u0440\u043d\u044b\u0439-\u0434\u0438\u0430\u0431\u0435\u0442-\u0424\u043e\u0442\u043e1-100x40.jpg 100w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"h--2\">Kako se dijagnosticira \u0161e\u0107erna bolest kod trudnica<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u017dene koje ranije nisu imale dijabetes mogu ni ne posumnjati da su tokom trudno\u0107e razvile gestacijski dijabetes. Otkri\u0107e se osigurava jer se pri prijavljivanju obavezno predaje krvna analiza za nivo glukoze koja se stalno prati. Za dijagnosticiranje gestacijskog dijabetesa tokom trudno\u0107e, prvo se uzima krv iz vene na prazan \u017eeludac. Normalne vrijednosti smatraju se izme\u0111u 3,3-5,1 mmol\/l. Ako je norma prekora\u010dena, dodjeljuje se test tolerancije na glukozu ili analiza sa optere\u0107enjem glukozom.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Analiza se sastoji iz 2 faze. Prvo se uzima obi\u010dna analiza na prazan \u017eeludac. Zatim \u017eena pije rastvor koji sadr\u017ei 75 g glukoze, a nakon 2 sata ponovno daje analizu. Ako sumnje ostanu, nekoliko sati kasnije analiza se ponavlja jo\u0161 jednom. Dijagnoza gestacijskog dijabetesa smatra se potvr\u0111enom ako je koli\u010dina glukoze u krvi na prazan \u017eeludac izme\u0111u 5,1-7 mmol\/l, a nakon 2 sata od uzimanja 75 g glukoze &#8211; vi\u0161e od 8,5 mmol\/l.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--3\">Ko je u rizi\u010dnoj grupi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Na\u017ealost, gestacijski dijabetes u trudno\u0107i mo\u017ee se razviti kod potpuno zdrave \u017eene, stoga je neophodno redovno posje\u0107ivati ljekara i ne preskakati preporu\u010dene preglede. Me\u0111utim, postoje i faktori rizika povezani sa:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prisutnost bliskih ro\u0111aka s dijabetesom;<\/li>\n\n\n\n<li>godinama starijim od 30 ili mla\u0111im od 18;<\/li>\n\n\n\n<li>vi\u0161estrukom trudno\u0107om;<\/li>\n\n\n\n<li>sindromom policisti\u010dnih jajnika;<\/li>\n\n\n\n<li>nedostatkom fizi\u010dke aktivnosti;<\/li>\n\n\n\n<li>prisutnost velikih koli\u010dina brzih ugljikohidrata u ishrani;<\/li>\n\n\n\n<li>prisutnost \u0161tetnih navika &#8211; zloupotreba alkohola, pu\u0161enje;<\/li>\n\n\n\n<li>vi\u0161kom kilograma i gojazno\u0161\u0107u, koji nedvosmisleno vode do poreme\u0107aja metabolizma;<\/li>\n\n\n\n<li>ranije ro\u0111eno dijete s te\u017einom ve\u0107om od 4 kg;<\/li>\n\n\n\n<li>tokom trenutne trudno\u0107e &#8211; veliko dijete;<\/li>\n\n\n\n<li>ranije prisutan gestacijski dijabetes ili predijabetes u anamnezi, predispozicija za koje ne nestaje s vremenom.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--4\">Simptomi gestacijskog dijabetesa<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Gestacijski dijabetes tokom trudno\u0107e obi\u010dno se razvija u 15-20 sedmici. Njegovo otkrivanje u ranim fazama zna\u010di da je \u017eena ve\u0107 imala dijabetes tipa I ili II prije trudno\u0107e. Glavni problem u otkrivanju gestacijskog dijabetesa tokom trudno\u0107e je taj \u0161to on obi\u010dno nema simptome karakteristi\u010dne za bolesti tipa 1 i 2. U ve\u0107ini situacija bolest prolazi bez simptoma, \u0161to je izuzetno opasno za budu\u0107u majku i plod.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Izra\u017eeni simptomi gestacijskog dijabetesa \u2013 prili\u010dno su rijetki i svi su nespecifi\u010dni. Na primjer, budu\u0107a majka mo\u017ee osje\u0107ati pove\u0107anu \u017ee\u0111 i povezano s njom konzumiranje vi\u0161e od 2 litre vode dnevno, suho\u0107u usta, gubitak ili dobitak na te\u017eini. Trudnice se mogu \u017ealiti na u\u010destalo mokrenje (poliuriju), pojavu svrbe\u017ea u podru\u010dju genitalija, kao i na nedostatak energije, promjenu apetita, umor, slabost i smanjenje aktivnosti.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-1024x683.jpg\" alt=\"Gestacijski dijabetes tokom trudno\u0107e\" class=\"wp-image-7469\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-1024x683.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-1536x1024.jpg 1536w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-2048x1365.jpg 2048w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-measures-her-blood-pressure-writes-results-notebook_11zon-1600x1067.jpg 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--5\">Za\u0161to je dijabetes opasan tokom trudno\u0107e<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Razvoj gestacijskog dijabetesa tokom trudno\u0107e je patolo\u0161ko stanje i predstavlja prijetnju zdravlju budu\u0107e majke i bebe. To je povezano s \u010dinjenicom da plod, jo\u0161 prije dolaska na svijet, po\u010dinje aktivno proizvoditi inzulin kako bi nadoknadio pove\u0107anu glukozu u krvi majke. To dovodi do toga da takva djeca od trenutka ro\u0111enja imaju sklonost ka niskom nivou \u0161e\u0107era u krvi. Osim toga, u odrasloj dobi imaju ve\u0107i rizik od dijabetesa tipa II i gojaznosti.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gestacijski dijabetes u trudno\u0107i stvara dodatni faktor rizika za pojavu preeklampsije &#8211; te\u0161kog oblika gestoze, visokog krvnog pritiska. Znakovi preeklampsije su usporenost, glavobolje, o\u0161te\u0107enje vida, mu\u010dnina, povra\u0107anje, nesanica ili pospanost. To je jedno od najte\u017eih poreme\u0107aja koje poga\u0111a centralni nervni sistem i koje mo\u017ee izazvati gestacijski dijabetes u trudno\u0107i.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--6\">Koje jo\u0161 mogu\u0107e posljedice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Drugi zabrinjavaju\u0107i faktor kod prisustva gestacijskog dijabetesa u trudno\u0107i je brzo dobijanje na te\u017eini kod djeteta u intrauterinom periodu &#8211; makrosomija. To kasnije dovodi do pote\u0161ko\u0107a pri porodu i predstavlja prijetnju za zdravlje majke. Ako je te\u017eina ploda ve\u0107a od 4 kg, pove\u0107ava se rizik od poro\u0111ajnih trauma, u tom slu\u010daju je ve\u0107a vjerovatno\u0107a da \u0107e biti potrebna operacija carskog reza.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Velike veli\u010dine fetusa mogu dovesti do potrebe za indukovanim poro\u0111ajem pre utvr\u0111enog termina, uz pove\u0107an rizik od prevremenog poro\u0111aja.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Posledice povi\u0161enog \u0161e\u0107era kod trudnica uklju\u010duju i pove\u0107an rizik od stanja koje ote\u017eava disanje bebe (respiratorni distres sindrom), kao i nervne i kardiovaskularne patologije fetusa, \u0161to generalno pove\u0107ava rizik i u\u010destalost komplikacija tokom trudno\u0107e i poro\u0111aja.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--7\">Kako lije\u010diti<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Prvi korak u lije\u010denju gestacijskog dijabetesa tokom trudno\u0107e su umjerene fizi\u010dke aktivnosti i uravnote\u017eena prehrana. Njena svrha je smanjenje \u0161e\u0107era na normalne vrijednosti. Pacijentkinje sa svim znacima GSD-a trebaju \u010ditav spektar minerala i vitamina, potrebnih za pravilan razvoj fetusa i odr\u017eavanje vlastitog zdravlja. Me\u0111u preporukama su \u010desti obroci u malim porcijama, izbjegavanje masnih peciva i brze hrane, raznolikost prehrane svje\u017eim povr\u0107em, \u017eitaricama, nemasnim mesom. Apsolutna zabrana &#8211; hrana sa visokim glikemijskim indeksom (banane, gro\u017e\u0111e, \u0161e\u0107er, bijeli hljeb).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Koristit \u0107e vodena gimnastika, hodanje, terapeutska fizi\u010dka kultura, plivanje. Ako fizi\u010dke aktivnosti i dijeta nisu dovele do smanjenja nivoa \u0161e\u0107era u krvi, propisuje se terapija inzulinom. Visok \u0161e\u0107er zahtijeva svakodnevno mjerenje nivoa glukoze, koje se provodi ku\u0107nim glukometrom sat vremena nakon svakog obroka i nata\u0161te.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248-1024x682.jpg\" alt=\"Gestacijski dijabetes tokom trudno\u0107e\" class=\"wp-image-7467\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/close-up-young-mother-holding-pills-staying-home-fight-nausea-keep-her-birth-healthy_197531-21248.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--8\">Dijabetes i poro\u0111aji<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dijabetes tokom trudno\u0107e predstavlja ozbiljnu prijetnju ne samo za no\u0161enje trudno\u0107e, ve\u0107 i rizik od komplikacija pri poro\u0111aju. Podaci posljednjih istra\u017eivanja, koje su proveli nau\u010dnici sa univerziteta Wayne iz SAD-a, pokazali su da je optimalan termin za poro\u0111aj kod GDM trudnica 39\u201340 sedmica gestacije. Stru\u010dnjaci smatraju da je upravo u tom periodu minimalan rizik od operativnih varijanti vaginalnog poro\u0111aja kod majke i razvoja sindroma distresa kod novoro\u0111en\u010deta. Stimulacija poro\u0111aja u kasnijem terminu \u010desto ima negativne posljedice i \u010dak mo\u017ee imati nepovoljan neonatalni ishod.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Indukcija poro\u0111aja prije 39. sedmice preporu\u010duje se samo ako postoji neki specifi\u010dan simptom. To mogu biti pucanje plodovih ovojnica, hipertenzijski poreme\u0107aj, pogor\u0161anje \u017eivotnih pokazatelja fetusa. Mogu\u0107e je i u slu\u010daju neefikasne kontrole glikemije, \u0161to zna\u010dajno pove\u0107ava rizik od mrtvoro\u0111enja.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--9\">Prevencija kod trudnica<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Na\u017ealost, nedvosmisleni u\u010dinkoviti na\u010dini koji bi za\u0161titili od gestacijskog dijabetesa ne postoje. Me\u0111utim, \u0161to vi\u0161e korisnih navika \u017eena razvije prije trudno\u0107e i u ranim fazama, to \u0107e uspje\u0161nije biti trudno\u0107a i porod.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Naime:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>od prvih dana konzumirati proizvode s niskim sadr\u017eajem masti i visokim sadr\u017eajem vlakana, u prioritetu su integralni proizvodi i povr\u0107e;<\/li>\n\n\n\n<li>pratiti veli\u010dine porcija i te\u017eiti raznolikosti;<\/li>\n\n\n\n<li>svaki dan posvetiti sportu najmanje pola sata;<\/li>\n\n\n\n<li>svakodnevno \u0161etati, plivati, voziti bicikl;<\/li>\n\n\n\n<li>planirati trudno\u0107u na normalnoj te\u017eini, ne dobiti prekomjerno i brzo \u2013 to pove\u0107ava rizik od gestacijskog dijabetesa tokom trudno\u0107e.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Zdrav na\u010din \u017eivota, uprkos nedostatku univerzalne za\u0161tite od GSD, omogu\u0107ava smanjenje rizika njegovog nastanka. Vrlo je va\u017eno pravovremeno otkriti njegove znakove i ne dozvoliti da se problem razvije.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pojava koja se prema statistici javlja kod skoro 18% \u017eena tokom trudno\u0107e &#8211; pojava gestacijskog dijabetesa kod trudno\u0107e (GSD). I dok se na planiranje trudno\u0107e&#8230;<\/p>\n","protected":false},"author":11,"featured_media":7471,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[839],"tags":[],"class_list":["post-12853","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trudnoca-bs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dijabetes tijekom trudno\u0107e \u2013 uzroci i faktori rizika<\/title>\n<meta name=\"description\" content=\"Razvoj tako ozbiljnog oboljenja kao \u0161to je dijabetes predstavlja patolo\u0161ko stanje tijekom trudno\u0107e i nosi sa sobom opasne posljedice. 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