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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.

2.    Was she insulin resistant?

Summary Introduction

To determine: Whether Person E is resistant to insulin or not.

Introduction: Gestational diabetes is an abnormality characterized by an increase in the blood glucose level during pregnancy. It is more likely to develop in women after 35 year-old and who is obese. Various other factors like lack of physical activity, unhealthy diet, and polycystic ovarian syndrome or previous history of the disease in earlier pregnancies/ family history are also found in cases as the leading cause of the disease.

The diagnosis of the disease is based on the estimation of glucose level in the blood as recommended by the American Diabetes Association and its management basically involves maintaining a healthy lifestyle with the aim of reducing the blood glucose.

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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