GESTATIONAL DIABETES MILLETUS

Assessment:
Subjective data:
• Patient reports feeling tired and lethargic.
• Patient reports increased thirst and frequent urination.
Objective data:
• Blood glucose levels are consistently above the normal range.
• Urine glucose levels are elevated.
• Patient's weight has increased beyond recommended levels for gestational age.
• Patient's blood pressure is within normal range.
Diagnoses:
1. Risk for unstable blood glucose level related to gestational diabetes
2. Risk for fetal injury related to maternal hyperglycemia
3. Risk for ineffective self-health management related to lack of knowledge and skills for managing gestational
diabetes
Planning: Goal 1: Patient will maintain stable blood glucose levels throughout pregnancy.
Interventions:
• Monitor blood glucose levels regularly.
• Teach patient about proper nutrition and physical activity during pregnancy.
• Collaborate with healthcare team to adjust insulin dosage as needed. Rationale: Monitoring blood glucose
levels and adjusting insulin dosage can help keep blood glucose levels within the target range, reducing the
risk of complications for both the mother and fetus. Proper nutrition and physical activity can also help
regulate blood glucose levels.
Goal 2: Fetus will be protected from injury related to maternal hyperglycemia.
Interventions:
• Monitor fetal well-being through regular ultrasounds and non-stress tests.
• Collaborate with healthcare team to adjust insulin dosage as needed.
• Teach patient about signs of fetal distress and when to seek medical attention. Rationale: Fetal well-being is
at risk when maternal blood glucose levels are elevated, as it can lead to complications such as macrosomia,
neonatal hypoglycemia, and respiratory distress. Monitoring fetal well-being and adjusting insulin dosage can
help reduce these risks.

Goal 3: Patient will effectively manage gestational diabetes.

Interventions:
• Teach patient about proper nutrition and physical activity during pregnancy.
• Teach patient how to monitor blood glucose levels and administer insulin injections.
• Provide patient with resources for ongoing education and support. Rationale: Effective self-management of
gestational diabetes is critical to reducing the risk of complications for both the mother and fetus. Providing
patient education and support can help improve patient outcomes.

Implementation:
• Monitor blood glucose levels regularly and adjust insulin dosage as needed.
• Monitor fetal well-being through regular ultrasounds and non-stress tests.
• Teach patient about proper nutrition and physical activity during pregnancy.
• Teach patient how to monitor blood glucose levels and administer insulin injections.
• Provide patient with resources for ongoing education and support.

Evaluation:
• Patient maintains stable blood glucose levels throughout pregnancy.
• Fetal well-being is maintained and there are no signs of injury related to maternal hyperglycemia.
• Patient demonstrates effective self-management of gestational diabetes through proper nutrition, physical
activity, and monitoring of blood glucose levels.