Gestational Diabetes Research

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.

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 writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

In a Guideline Summary published by the Agency for Healthcare Research and Quality (AHRQ), evidence-based practice recommends prevention programs for those at risk for type II diabetes (Agency for Healthcare Research and Quality [AHRQ], 2015). This paper will examine this recommendation, what it entails, and how it can be applied to nursing practice.

Early prenatal care is essential to mothers and babies. Doctors preferably see their pregnant patients around 8 weeks of pregnancy in which an initial evaluation is conducted which includes checking for sexually transmitted infections, they screen for gestational diabetes, and to find out when the due date is. When a woman comes in during the third trimester for an initial check-up, the due date is typically not accurate; which could result in preterm labour. Being born preterm has severe consequences, such babies are more at risk for respiratory distress syndrome, and later on in life diabetes, heart disease and obesity. Among the benefits of prenatal care is the ability to anticipate future or current problems; hence, it is essential to the health of both mother and child. Prenatal care allows health care providers to take timely measures to ensure the wellbeing of the mother and

There are several different types of diabetes. Type one diabetes is when the body produces little or no insulin and can be known as a chronic disease. This type can be considered the most severe, because people who have type one are born with it and there is no cure. The only way to control type one is to manually pump insulin into the body whenever sugar is consumed. Gestational diabetes occurs only in pregnant women and is caused when the body changes and cannot respond to insulin (National Institutes of Health). In many cases this type of diabetes can be set in remission with the correct diet and exercise during a pregnancy. This type also has the chance to give the unborn child diabetes as well, and the mother may have to live

In 2014, diabetes was responsible for 4.9 million deaths, approximately one death every seven seconds (Bone, 2015). For some women, pregnancy can precipitate diabetes causing numerous subsequent lifelong complications for both the mother and her fetus/newborn. The previous shocking statistic is just one of the many reasons why implementing evidence-based practice (EBP) protocols is an essential aspect in providing great patient care. In addition, EBP is crucial in improving patient outcomes while decreasing negative outcomes that can result in lifelong complications due to gestational diabetes. The process of establishing an EBP requires research to be critically appraised before it could be used

Pointing out the multiple team approach for diabetes care which may include referrals and future testing dependent upon findings. Examples of possible referral and future testing includes: education referral to certified diabetes educator for comprehensive diabetes education, with focus centered on the impact of diabetes and glycemic control upon the development of comorbidities and multiple body systems. Referral may consist of podiatry/orthopedic/neurology/surgical intervention in the event of peripheral neuropathy and associated complications. Most importantly emphasizing the impact of glycemic control as a primary prevention in the development of micro and macro vascular comorbidities which affect the entire body systems and the overall health of the patient. Referral for comprehensive dental exam, dilated eye exam and dietitian for medical nutrition therapy education and mental health as needed (ADA, 2017). Referral for family planning needs with females considering pregnancy who have not met glycemic control should for extensive education and initiation of self-glucose monitoring. Of importance, in the event of pregnancy, oral agents deemed teratogenic must be stopped and replaced with insulin therapy (Childs, Cypress, & Spollet,

Gestational diabetes, affecting approximately 3-10% of pregnancies, is diagnosed by hyperglycemia during pregnancy in women without a history of diabetes. The underlying cause of gestational diabetes remains unknown, although the interference of pregnancy hormones, such as human placental lactogen, with susceptible insulin receptors, has been considered. The patients usually have few symptoms, and they are often diagnosed by screening during routine pregnancy check-up. For the mother, glucose intolerance typically disappears after the baby is born. However, gestational diabetes often places the body at risk. Babies born to mothers with poor hyperglycemia control are often at increased risk of series problems including macrosomia, which associates with a high chance of C-section, shoulder dystocia, hypoglycemia after birth, polycythemia as well as multiple chemical disorders.

The following information explains what you need to know when managing your diabetes at home during your pregnancy.

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

Jardine-Brown et al, 1996, highlight many areas of substandard care and indicate the lack of specialist maternity services for the diabetic woman with resultant increases in poor pregnancy outcome. Even though improvements in care for the pregnant diabetic woman have been made over the last decade, the statistics provided by the NSF (2001) and CEMACH (2002-03) suggest insufficiency. In the search for safety and a reduction in mortality/morbidity rates, the professional must use the best available evidence for care decisions (Page, 2000).

JB was terrified during the interview because she also had a history of gestation diabetes with her last son and was not eating as nutritionous as she wanted to and did not exercise regularly despite having available resources. This author can understand her fear for developing diabetes as the literature indicates that it is the sixth leading cause of death and is cited as a global epidemic (Castro et al. 2008). The author also understand her risk for developing type 2 diabetes, like many of her maternal relatives, because it is closely linked to obesity and sedentary lifestyle which are factors the patient has at this time (Shulze & Hu 2005). This author will not just solely focus on her risk factors but on promoting her prevention of diabetes and well being in the future through the development of a

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

Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily