Universidad Autónoma de Durango Campus

Zacatecas

Trabajo en clase

Actividad Integradora

Docente
Ana Gabriela Ramos Martínez

Alumna
Ceila María González Ruiz

Fecha
Viernes, 23 de septiembre del 2022

Case Study
A 29-year-old woman at 20 weeks` gestation visits your office for a routine
prenatal examination. This is her second pregnancy, and she has gained 15 lb
(6.8 kg).
According to her medical record, the patient`s prepregnancy body mass index
(BMI) was 27 kg per m 2 . She mentions that her father was recently
diagnosed with diabetes, and she asks whether she should be tested for
diabetes.

1.-What is the most appropriate approach to this patient?

Wait until the pregnancy reaches 24 weeks before you can have the glucose
screening test or GCT

2.- Which one of the following statements is the best assessment of the
patient`s risk of gestational diabetes?
A. She is at increased risk if she is white.
B. Her age puts her at lower risk of gestational diabetes.
C. She is not at increased risk because she did not have gestational diabetes in
her previous pregnancy.
D. Her age and prepregnancy BMI increase her risk of gestational
diabetesfivefold.
E. Her prepregnancy BMI increases her risk of gestational diabetes.

3.- Which of the following approaches to gestational diabetes prevention

is/are recommended for this patient?
A. Encourage participation in physical activity.
B. Counsel her on achieving appropriate weight gain based on her
prepregnancy BMI.
C. Prescribe an oral hypoglycemic agent.
D. Recommend an appropriate diet to regulate her blood sugar.
 4.- Using all your knowledge about GDM, make a mind mapp using
Gestational Diabetes as a central word and causes, risk factors,
symptoms, prevention, treatment and complications as a secondary Word
(you have to write all causes you remember under the word)

CAUSAS
-La falta de producción de insulina -
Los cambios hormonales durante el
embarazo juegan un papel principal.
-El sobrepeso
COMPLICACIONES
-Peso elevado al nacer en el bebé
-Parto prematuro
-Síndrome de dificultad respiratoria en bebés.
-Bajo nivel de azúcar en sangre en el bebé
-Riesgo de diabetes en el futuro tanto en el bebé
como en la madre
-Presión arterial alta y preeclampsia en la madre

FACTORES DE RIESGO
TRATAMIENTO
-Alteración en la secreción o el
funcionamiento de la insulina. Se puede controlar con una dieta
-El embarazo mayor de 30 años nutritiva y ejercicio. La medicación es
también es un factor destacado necesaria solo si el nivel de azúcar es
-Antecedentes familiares de diabetes incontrolable con dieta y ejercicio.
Obesidad
-Historial de salud del síndrome de
ovario poliquístico

PREVENCION

-Tener una dieta equilibrada

SINTOMAS -Comer alimentos saludables y
nutritivos
-Aumento de la sed
-Añadir ejercicios a tu rutina diaria
-Micción frecuente
-Tratar de perder el exceso de peso
-Sudoración excesiva
antes del embarazo
-Sobrepeso
-Fatiga