Gestational diabetes mellitus (GDM) is a condition where a pregnant woman without diabetes develops high blood sugar levels. It occurs due to insulin resistance associated with pregnancy and is typically diagnosed during the 2nd or 3rd trimester. Risk factors include advanced maternal age, obesity, family history of diabetes, and history of GDM. If left untreated, GDM can lead to complications for both mother and baby such as preeclampsia and macrosomia. Treatment involves glucose monitoring, medical nutrition therapy, and possibly insulin to control blood sugar levels. Proper management of GDM can help prevent adverse outcomes.
Gestational diabetes mellitus (GDM) is a condition where a pregnant woman without diabetes develops high blood sugar levels. It occurs due to insulin resistance associated with pregnancy and is typically diagnosed during the 2nd or 3rd trimester. Risk factors include advanced maternal age, obesity, family history of diabetes, and history of GDM. If left untreated, GDM can lead to complications for both mother and baby such as preeclampsia and macrosomia. Treatment involves glucose monitoring, medical nutrition therapy, and possibly insulin to control blood sugar levels. Proper management of GDM can help prevent adverse outcomes.
Gestational diabetes mellitus (GDM) is a condition where a pregnant woman without diabetes develops high blood sugar levels. It occurs due to insulin resistance associated with pregnancy and is typically diagnosed during the 2nd or 3rd trimester. Risk factors include advanced maternal age, obesity, family history of diabetes, and history of GDM. If left untreated, GDM can lead to complications for both mother and baby such as preeclampsia and macrosomia. Treatment involves glucose monitoring, medical nutrition therapy, and possibly insulin to control blood sugar levels. Proper management of GDM can help prevent adverse outcomes.
Signs and Symptoms Management M: Maternal Age 42 years the 2nd or 3rd trimester of pregnancy, caused old by insulin resistance associated with pregnancy Renal System: Kidney O: Overweight >25 or Obese Screen for GDM malfunction -> Urinary > 30 // Pt, BMI is 28.1 Early awareness and detection opens tract infection Symptoms: Fatigue, door for early care and treatment. Disease Process Use of Diet & Exercise to manage M: Macrosomia // Baby is Itchiness on genitalia blood glucose and proper adherence 3900g Hyperglycemia is characterized by Laboratory Findings: +2 elevated blood glucose levels. occult blood, +1 to medication such as metformin and Leukocytes esterase, 20- insulin is more appropriate as oral M: Multiple pregnancies Insulin 40 WBC, 10-21 RBC, +3 medication crosses the placenta and Hyperglycemia encourages beta cells to Protein are potentially teratogenic to fetu. A: A history or family hx // generate more insulin, which helps to Glucose monitoring (daily basis at Father & father’s sister is Insulin lower blood glucose levels Cardiovascular System: home) best post-prandial diabetic Resistance 130/80 blood pressure Assess urine for glucose every (stage 1 hypertension). prenatal, ask client for burning Insulin stimulates the absorption of High blood glucose If not treated: glucose by cells in the mother’s tissue, sensation Without treatment, it can levels, Macrocytic leading in insulin resistance in the baby Risk factors blood glucose swings progress to diabetes mellitus type Hyperglycemia anemia (mcv & mch) during and after labor (monitor signs 2, which can lead to life- of hypoglycemia for both mother and threatening consequences such The placenta secretes a variety of Endocrine System: baby) maintain euglycemia levels. as heart disease and nerve hormones that interfere with insulins Overweight: 28.1 BMI Adverse effects of gestational damage. It can also cause Glucose to the ability to act. diabetes monitoring such as HTN, UTI blindness and renal failure, as fetus & yeast infections risk for c-section, well as amputations. And the risk Insulin resistance arises as a result of Other Diagnostic tools & hypoglycemia &respiratory distress of mortality for individuals with Test Result; OGTT (baby) Blood glucose monitoring diabetes is 50% higher than the Growth of the blood glucose not being absorbed Fasting: 120mg/dl(overt risk for those who do not have baby efficiently, resulting in hyperglycemia postpartum (OGTT, 6-12 weeks PP) diabetes), 190mg/di, 165 diabetic complications. (high blood glucose. Educate about importance of regular mg/dl FBS: 6.9mmol/L diabetic testing due to risk of If treated: Macrosomic Baby It is the rise in glucose levels that circulates in weighing 3900g Other developing DM 2 even if GDm Treatment and management of Macrosomia maternal and neonatal blood that causes the syptoms: Tiredness, disappears (1-3 years) diabetes can lead to remission in fetal pancreas to generate insulin on its own nausea certain cases. In order to properly control diabetes, one must: Proper education and awareness Fetal macrosomia is caused by the increased constant blood sugar monitoring absorption of glucose by the fetus’s tissues (every 1-3 years), proper exercise and balance diet