Gestational Diabetes

Along with all the worries and complications a woman might face while pregnant, one of the more serious conditions is gestational diabetes. Gestational diabetes occurs in 4% of all pregnancies (Seibel, 2009). Many women are not informed about the disease, some may not know that they need to be tested, and others may have heard about it, but want more information on what may cause it and/or how to prevent and treat it. Either way this disease needs to be taken seriously by every pregnant woman or woman planning to get pregnant to protect not only herself but the unborn child.

This week of maternity clinical rotation, I had a patient Mrs. M was 35-year-old G2P2. She gave birth to a boy by cesarean section at 41 weeks. Mrs. M had Rh+ and Blood group was O+. She was rubella immune, +PPD and had no known allergies. Her GBS, HBsAg, and RPR status were negative.

Breasts: no masses, no nipple retraction, no discharge. Heart: S1 and S2, no gallops, rubs, or murmurs appreciated. Abdomen is scaphoid, soft and non-tender with positive bubble sounds. Pelvic/ Rectal: deferred as patient has recently visited her GYN for a routine Pap smear. Neurologic exam reveals normal motor strength in all muscle

Most pregnancies progress with the mother being healthy, however in some cases problems do arise with the mother developing complications. This can in the form of gestational diabetes. Mothers who didn’t have diabetes prior to pregnancy exhibit high blood sugar levels, in most cases this is during the later stages of pregnancy, this could lead to pre-eclampsia and babies could be born with higher birth weights. If left unchecked mothers can develop type 2 diabetes post pregnancy.

Amanda manages her gestational diabetes with diet. She experiences a few episodes of postprandial hyperglycemia, but does not have to go on insulin. At her 36-week

The Gestational Diabetes Act is a bill that amends the Public Health Service Act (Congress.gov., 2015). This act emphasizes on the National Vital Statistics System, the National Center for Health Statistics, and State health departments to monitor and collect data on GDM. Regarding babies born from mothers with GDM, those diagnosed and undiagnosed with GDM. Finding ways to track and monitor postpartum women with GDM, implementing interventions that are culturally sensitive to reduce the risk of developing GDM and complications. The act also focuses on clinical and public health research on GDM to find interventions for women with a history of GDM from developing DM II as well as their children. Research on understanding GDM regarding risk

In gestational diabetes, this type of diabetes develops in women only during pregnancy. When a woman is pregnant there are a surge of varied hormones that are produced. These hormones sometimes lead to a pregnant woman developing resistance to the insulin just like the other two types of diabetes. It also comes about because the body cannot use the insulin that is produced, effectively. This usually affects a woman in her second trimester and goes away after the birth of the baby. Developing GD can put a woman at risk of developing type 2 diabetes later in her life or developing GD with every pregnancy that follows. It can also lead to certain health problems in their children like childhood obesity or the risk of developing diabetes in later life.

RESEARCH ARTICLE: Rowan J., Gao W., Battin M., & Moore M. (2008). Metformin Vs. Insulin for the Treatment of Gestational Diabetes. The New England Journal of Medicine. 358(19):2003-2015.

Gestational diabetes is a disease that affects pregnant women it’s a glucose intolerance that is started or diagnosed during pregnancy. Based on recently announced diagnostic criteria for gestational diabetes, according to the American Diabetes Association, it is estimated that gestational diabetes affects 18% of pregnancies. Pregnancy hormones can block insulin therefore causing the glucose levels to increase in a pregnant woman’s blood. Gestational diabetes starts when your body is not able to make and use all the insulin it needs for pregnancy (American Diabetes Association). Without enough insulin, glucose cannot leave the blood and be changed to

This is a condition where the mother develops diabetes (mainly seen as high blood sugar) during pregnancy.She may not have been diabetic before pregnancy and the condition usually abates during pregnancy. According to the Center for disease Control and Prevention (CDC), gestational diabetes affects up to 1 out of 10 pregnant women in the US. In a recent review, up to 13.9% of Pregnant Nigerian women in Urban places were found to have diabetes. Most of them had risk factors which accounted for the high prevalence.

Kansas City is a very diverse place where there are many cultures who live in the melting pot of the city. With different cultures comes different lifestyles that affects a person’s overall health. It so happens to be that obesity, unhealthy eating, and not enough physical exercise has led to a substantial increase in diabetes, making it the number seventh leading cause of death (American Diabetes Association, 2014, p. Diabetes Basics). Diabetes also called diabetes mellitus is a metabolic disease in which the body’s inability to produce any or enough insulin causes elevated levels of glucose in the blood (Google, What is Diabetes). There is three type of diabetes, Type 1, Type 2 and gestational diabetes. Type 1 is mostly seen in juvenile, where they become insulin dependent because the body immune system attacks the pancreas (Diabetes Research Institute, 2014, p. What is Type 1 Diabetes?). Type 2, which account for 90% of cases is seen in those who are obese, who have a family history, who are older and have unhealthy eating lifestyles, is when the body doesn 't know how to use the energy efficiently to process sugar Google, What is Diabetes; Center for Disease Control, p.2). Gestational diabetes happens during pregnancy when there is higher levels of sugar and normally goes away afterwards. (Center for Disease Control and Prevention, p.2). We will briefly explore the epidemiology surrounding diabetes, how it’s impacting the metro area as well as its effects on the body.

Fetal biometry is consistent with dates. Notably, the abdominal circumference is slightly ahead of other measurements. A limited survey was unremarkable. Amniotic fluid appeared normal. The placenta was anterior. At the upper edge, there was slightly hyperechoic area that could be questionable for an abruption but was not

Between 5.5 and 8.8% of pregnant women develop GDM in Australia. Risk factors for GDM include a family history of diabetes, increasing maternal age, obesity and being a member of a community or ethnic group with a high risk of developing type 2 diabetes. While the carbohydrate intolerance usually returns to normal after the birth, the mother has a significant risk of developing permanent diabetes while the baby is more likely to develop obesity and impaired glucose tolerance and/or diabetes later in life. Self-care and dietary changes are essential in treatment.

Gestational diabetes mellitus (GDM) is an intolerance of glucose documented for the first time during pregnancy. It is usually a short-term type of diabetes and the most common health problem with pregnant women. GBM is caused by the way the hormones in pregnancy affect the mother. GDM accounts for 5-7% of all pregnancies (American Diabetes Association, 2010). During pregnancy the placenta develops and becomes the main bond between the mother and the baby. It is used to make sure the baby has and gets enough nutrients. The placenta makes several hormones which make it hard for insulin to control blood glucose and block the action of the mother’s insulin in her body (American Diabetes Association, 2010). Hormonal changes during the

Presently, diabetes is a major concern for health care system across the world. Diabetes is a disease that is characterized by either low levels of insulin or an abnormal resistance to the effects of insulin coupled with inadequate levels of insulin secretion to balance. The three major divisions of diabetes are type one, type two, and gestational. The first subclass of diabetes, type I or insulin-dependent diabetes mellitus (IDDM), is usually characterized clinically by abrupt onset of symptoms, insulinopenia and dependence on injected insulin to sustain life, and proneness to ketosis (raised levels of ketones in the body). On the other hand, type 2 diabetes is the noninsulin dependent form of the disease that often presents without the metabolic abnormalities typically associated with diabetes. However, they may require insulin for correction of symptomatic, or persistent, fasting hyperglycemia if this cannot be achieved with the use of diet or oral agents. Such patients may develop ketosis under special circumstances, such as severe stress precipitated by infections or trauma (National Diabetes Data Group, 1979). Gestational diabetes is comparable to type two diabetes because of its insulin resistant nature, and involves the hormones of pregnancy forming an environment that breeds insulin opposition in women genetically predisposed to diabetes. Diabetes exists in all ages of people, in all races of people, and in every region around the world. Alone, diabetes is already