Gestational Diabetes - 2586 Words

Gestational Diabetes Mellitus: an Overview Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with the onset or first recognition during pregnancy. Ninety percent of those diagnosed with diabetes during pregnancy will resolve after delivery (Scollan-Koliopoulos, Guadagno, Walker, 2006). Pregnancy causes estrogen, progesterone and human placental lactogen to become elevated which provokes malfunctioning insulin, which can lead to insulin resistance and decreased cellular glucose uptake. The growing placenta causes the production of even more hormones, producing higher glucose levels and increased insulin resistance. When the pancreas can’t satisfy the demands for additional insulin, GDM results†¦show more content†¦Breasts: Assymetrical- rightleft, everted nipples, no discharge, no dimpling, tender bilaterally, no masses, no axillary nodes. Abdomen: Nontender; no organomegaly, bowel sounds x 4. FHT heard-152 bpm, +FM Pelvic: Cervix closed, parous os, creamy white discharge. Gravid uterus, SD, fundus U-2, no active bleeding, no CMT, no adnexal tenderness. Vulva without erythema, lesions. Extremities: No edema. Pedal pulses 2+. No joint irregularities. Labs: CBC, RPR, Type and screen, Hep Bs Ag, Rubella, urine culture, Rh screen, genprobe, pap, obtained today. UA in office shows trace of nitrites. U/S planned for next week with Dr. Petrie. Quad screen discussed for between 16-20 weeks. GTT planned for 20 weeks. R.B. returned to the clinic on June 1, 2010, for second prenatal visit. Lab and ultrasound results were as follows: Blood type: O+ Rh: negative Rubella: non immune Pap: normal RPR: negative GC: negative Chlamydia: negative HCT: 44.3 Hgb: 15.1 Hep B: nonreactive Urine culture: contaminated; clean catch obtained this visit. U/S: Viable fetus 16 5/7 weeks, EDC November 11, 2010, limited survey, posterior placenta, not previa. MANAGEMENT OF GESTATIONAL DIABETES R.B. presented with the risk factors for GDM including obesity, previous history of macrosomia, Hispanic descent and advanced maternal age. It is for this reason that I chose the management of gestational diabetes for the topic of discussion for this paper. GDM is occurring in five to nineShow MoreRelatedEssay On Gestational Diabetes1152 Words   |  5 Pagesin women that lived in Orange County was gestational diabetes. The stated target population is women that live in Orange County, specifically in Santa Ana. The prevalence of gestational diabetes in Orange County was 7.1% affecting nearly 3,000 women in 2009 (Ramos et al., 2011, 2). This data shows the prevalence rates according to each city in Orange County Santa Ana as well as Anaheim, Garden Grove, and Irvine made up almost half of the gestational diabetes cases in 2010 (Refowitz, 2012, 8). LookingRead MoreGestational Diabetes : The Prevalence Of Gestational Obesity932 Words   |  4 PagesG estational Diabetes in Pregnancy According to the American Diabetes Association, the  prevalence  of gestational diabetes is as high as 9.2% in pregnant women due to obesity or being overweight. Not only can it be harmful to the mother, but it can also be harmful to her baby. Gestational diabetes can increase the chances of pregnant women delivering a baby that weighs more than 9 pounds. Having gestational diabetes can also increase the mother’s chance for needing a cesarean section delivery. SomeRead MoreThe Prevalence Of Gestational Diabetes1223 Words   |  5 PagesAccording to the American Diabetes Association, the  prevalence  of gestational diabetes is as high as 9.2% in pregnant women due to obesity or being overweight. Not only can it be harmful to the mother, but it can also be harmful to her baby. Gestational diabetes can increase the chances of pregnant women delivering a baby that weighs more than 9 pounds. Having gestational diabetes can also increase the mother’s chance for needi ng a cesarean section delivery. Some other risk factors that the motherRead MoreThe Common Definition Of Gestational Diabetes Mellitus1443 Words   |  6 Pages The common definition of gestational diabetes mellitus (GDM) is glucose or carbohydrate intolerance with onset, first recognition or first diagnosis during pregnancy; it is a common complication in pregnancy that typically ends a few weeks after birth (Coustan, 2013; Zhang Ning, 2011; Brown, 2011). Although the causes of GDM are not known, it appears that hormones from the placenta lead to insulin resistance in the mother; this insulin resistance combined with an inadequate insulin secretionRead MoreRisk Factors For Gestational Diabetes Mellitus1765 Words   |  8 PagesWhile a universal screening strategy is the best strategy to assure that all women with GDM are diagnosed and treated, the cost of such a strategy may prove to be prohibitive for some populations. Known risk factors for gestational diabetes mellitus include a family history of diabetes, race (Asian, African-American, Hispanic and Native American women have a higher incidence of GDM than non-Hispanic Caucasian wom en [Ferrara, 2007; Slocum and Burke Sosa, 2002]), obesity (body mass index [BMI] ≠¥25 kg/m2)Read MorePreventing Complications From Gestational Diabetes2104 Words   |  9 PagesPrevent Complications from Gestational Diabetes Gestational diabetes, glucose intolerance with onset or first recognition occurring during pregnancy, is a problem more pregnant women are facing. The exact prevalence rate of gestational diabetes mellitus is unknown but in the United States it is estimated to affect anywhere from one to 14 percent of pregnancies (Desisto, Shin, Sharma, 2014). There are several risk factors which increase a woman’s risk for gestational diabetes. Some of these risksRead MoreDiabetes : Diabetes And Gestational Diabetes1209 Words   |  5 Pageslive with diabetes (Phillips Mehl, 2015). According to Medical News Today [MNT], diabetes is a metabolic disorder; which causes patients to be extremely thirsty and produce a lot of urine. Diabetes arises due to high blood pressure, due to the body not being able to produce enough insulin or because the body does not respond well to high insulin levels (MNT, 2016). There are four types of diabetes; there is the pre-diabetic stage, type 1 diabetes, ty pe 2 diabetes and gestational diabetes. In 2014Read MoreThe Prevalence Of Gestational Diabetes1325 Words   |  6 PagesGestational diabetes is a glucose intolerance that develops during pregnancy. Early diagnosis and effective treatment are important because gestational diabetes can cause serious maternal and fetal complications. Diet and exercise are the first line treatment options of gestational diabetes, while insulin therapy is the first line medical treatment option. Nurses’ play an important role in education and support of gestational diabetes because they provide day-to-day care for their patients. In thisRead MoreGestational Diabetes Essay977 Words   |  4 PagesGestational Diabetes Alivia Danna October 5, 2011 HED 3390 Gestational Diabetes 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 increaseRead MoreGestational Diabetes : A Condition1894 Words   |  8 Pagescalled gestational diabetes. No pregnant woman should eat anything she wants during pregnancy, but this is especially true for the gestational diabetic. There can be many complications if blood sugars are not managed during the pregnancy. If diagnosed with gestational diabetes, it does not mean you had diabetes before you were pregnant, though the doctor may check in a couple months after the baby is born to be sure you are not a type 2 diabetic. What is Gestational Diabetes? Gestational diabetes