GESTATIONAL
DIABETES
HISTORY
-Family history of diabetes
-Overweight or obesity
-Some indigenous women are affected and at
greater risk.
-previous high blood glucose levels.
-women older than 25 are at greater risk.
A DIABETES THAT CAN
DEVELOPS DURING
PREGNANCY IN WOMEN WHO
DON’T ALREADY HAVE
DIABETES CAUSED BY
HORMONES PRODUCED DURING
PREGNANCY THAT MAKES
INSULIN LESS EFFECTIVE.
FOLLOW-UP VISITS
PHYSICAL EXAM
-Monitor overall health for any abnormal changes.
-Weight loss or gain
-promote nutrition
-physical activity
-monitor blood pressure
It is crucial to have a regular follow-up visit with
the primary care provider to monitor the
progress, blood glucose levels, overall health and
make adjustment to the treatment plan if needed
as it reduces the risk of complication and
promote a successful pregnancy.
-During visits nutrition intake is discussed, blood
sugar parameters are reviewed, medication
changes is done if needed and necessary tests are
conducted to ensure an healthy baby and mother.
LAB TEST
ASSESSMENT OF FETAL WELL- BEING
-oral glucose tolerance test (OGTT) is performed
to diagnose GD; it is done between 24 weeks to
28 weeks of pregnancy.
-Daily blood glucose monitoring
-Non-stress tests.
-Monitor Fetal growth and development for any
changes or abnormality
-A noninvasive imaging test that uses sound
waves to make pictures of organs inside the body
is performed to detect any complications and
monitor fetal.
- twice-weekly non-stress tests can be performed
beginning at 32 to 34 weeks of gestation.
Reference
Gestational diabetes mellitus (GDM). JHM. (2019, November 19).
https://www.hopkinsmedicine.org/health/conditions-and-diseases/diabetes/gestational-diabetes
Serlin, D. C., & Lash, R. W. (2009, July 1). Diagnosis and management of gestational diabetes mellitus.
American Family Physician. https://www.aafp.org/pubs/afp/issues/2009/0701/p57.html