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The Prevalence Of Gestational Diabetes Mellitus And Risk

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Statement of the problem According to American Diabetes Association (2004), GDM is usually diagnosed between 24 and 28 weeks (p. S88). GDM affects approximately seven percent of all pregnancies (p. S88). If GDM is left untreated, it can cause adverse effect on the mother and the child. American Diabetes Association (2004) also illustrated that maternal and perinatal morbidities are linked to the untreated GDM (p. S88). Although gestational diabetes disappears after birth, women with GDM are at increased risk for developing diabetes later in life. As mentioned by National Institutes of Health (NIH) (2006), babies of untreated mothers with GDM can suffer from macrosomia, hypoglycemia, jaundice, respiratory distress syndrome and low …show more content…

Search terms Gestational Diabetes Mellitus, Physical activity, Nutrition, Pregnancy, Management
Literature review Clinical trial by Morisset et al. (2014) and research by Redden, LaMonte, Freudenhein and Rudra (2011) supported the value of healthy diet and physical activity to manage the gestational weight gain and primary prevention of GDM respectively. In a research article by Morisset et al. (2014), the focus of the intervention was on controlling gestational weight gain in women with GDM by reducing energy intake and percent of energy from carbohydrates. Women with GDM should create a healthy diet plan, eating a small amount of carbohydrate and spread out carbohydrate throughout the day. In Morisset et al. 's (2014) research, the sample consisted originally of forty- eight pregnant women at the CHU de Quebec, but excluding the women with pre-existing type 1 or type 2 diabetes, it was reduced to 17 women with GDM and 27 women with normal glucose tolerance (controls). The result in this study supported the hypothesis that reducing total carbohydrate and energy intake could minimize gestational weight gain. The result also indicated that the consistent macronutrient distribution could contribute to reduce the risk to the fetus that may occur due to the calorie restriction in women with GDM. Furthermore, in Redden et al. 's (2011) article investigating the association of recreational physical activity before

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