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Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007

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BuyFindarrow_forward

Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007
Textbook Problem

Elizabeth is a 36-year-old who entered pregnancy with a BMI of 23.5 kg/m2. She began receiving prenatal care at 32 weeks’ gestation and was screened for gestational diabetes the next day. Results of her oral glucose tolerance test revealed the following blood glucose levels:

  Fasting:    90 mg/dL

  1-hour:    195 mg/dL

  2-hour:    163 mg/dL

  Elizabeth’s health care provider advised her to consume a “no white food, no-sugar, low-carbohydrate diet” and to keep her weight gain low throughout the rest of pregnancy. She delivered a large infant (4750 g) at 39 weeks’ gestation.

1.    Did Elizabeth have gestational diabetes?

Summary Introduction

To determine: Whether Person E has gestational diabetes or not.

Introduction: High blood sugar level during pregnancy without the history of diabetes is referred to as gestational diabetes. In gestational diabetes, insulin resistance increases with the progression of pregnancy and hence, insulin requirement also increases. An increased Body Mass Index (BMI) is also associated with an increased risk of gestational diabetes. The American Diabetes Association has recommended screening for blood glucose level to be undertaken during 24 to 28 weeks of pregnancy.

Explanation

Person E is a 36-year-old woman who has a BMI of 23.5kg/m2 at the beginning of her pregnancy. At 32 week gestation, she began her prenatal care and was diagnosed with gestational diabetes. Her blood glucose levels and oral glucose tolerance test were shown 90 mg/dL in fasting condition and 195 mg/dL and 163 mg/dL after one and two hours, respectively. She was advised to consume a ‘no-white, no-sugar, and low-carbohydrate diet’ while managing her weight gain during the rest of her pregnancy...

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