Gestational

Diabetes
Mellitus
Aradais, Baguinat, Bakil, Bersabe

2-BSN B NCM109j - Maternal

DEFINITION

It is a condition in which the placenta produces a

hormone that hinders the body from adequately
absorbing insulin.

It occurs when the body is unable to produce enough

insulin when pregnant.

Pregnancy might raise the risk of high blood pressure if

the pregnant mother has gestational diabetes. It can also
raise the chances of having a cesarean delivery (C-
section).

It usually develops around the 24th week of pregnancy,

so you'll probably be tested between 24 and 28 weeks.
 DEFINITION
If there is gestational diabetes, your baby is more likely to
develop:

Being very large (9 pounds or more), which can make

delivery more difficult

Being born early, which can cause breathing and other

problems

Having low blood sugar

Developing type 2 diabetes later in life

 signs and symptoms

Extreme Fatigue Blurred Nausea

thirst Vision

Frequent bladder, Frequent Sugar in

vaginal, or skin
Urination Urine
infections
diagnostic or laboratory tests

Glucose Challenge Oral Glucose Glycosylated Hemoglobin

Test Tolerance Test Test (HbA 1c)

It is a test used to
It is a test used to It is a test used to
assess glycemic control
check the blood measure your blood
or indicate the overall
sugar level without glucose after fasting
blood glucose level for
fasting. for at least 8 hours.
the last 2-3 months.
 nursing management
1. Establish an initial database, and maintain serial documentation of
test results throughout the pregnancy.

2. Provide client and family health teaching.

3. Arrange for the client to consult with a dietitian.

4. Address emotional and psychosocial needs.

5. Prepare the client for intensive frequent intrapartum

assessment, which may include: Fetal monitoring and
intravenous infusion of glucose, insulin, and oxytocin.

6. Identify and make referrals to support groups and

resources available to the client and family.
 nursing 1. Risk for Maternal Injury
2. Risk for fetal injury

diagnosis
3. Risk for infection
4. Risk for Altered nutrition: Less than body requirements
5. Deficient Knowledge related to Lack of Exposure to
Information as evidenced by Development of
preventable complications
6. Risk for Deficient Fluid Volume as evidenced by
Increased Urine Output
7. Risk for Unstable Blood Glucose Levels
8. Readiness for Enhanced Nutrition related to Weight
Loss as evidenced by adherence to the prescribed
dietary modifications
 references
[1] Gestational diabetes. (2020, April 20). Centers for Disease Control and Prevention.
https://www.cdc.gov/diabetes/basics/gestational.html

[2] Gestational diabetes mellitus (GDM). (n.d.). Johns Hopkins Medicine, based in Baltimore,
Maryland.https://www.hopkinsmedicine.org/health/conditions-and-diseases/diabetes/gestational-
diabetes#:~:text=Gestational%20diabetes%20mellitus%20(GDM)%20is,being%20absorbed%20by%20the%
20cells

[3] Mayo Clinic. (n.d) Diabetes. Retrieved March 20, 2022, from https://www.mayoclinic.org/diseases-
conditions/diabetes/symptoms-causes/syc-20371444

[3] Nurselabs. (2022). 8 Gestational Diabetes Mellitus Nursing Care Plan. Retrieved March 21, 2022 from
https://nurseslabs.com/gestational-diabetes-mellitus-nursing-care-plans/7/

[4] RNpedia. (2022). Gestational Diabetes Nursing Care Plan & Management. Retrieved from
https://www.rnpedia.com/nursing-notes/maternal-and-child-nursing-notes/gestational-diabetes/
Thank you!
Do you have any questions for
us before we go?