Gestational diabetes
-
Upload
elizabethkelley -
Category
Health & Medicine
-
view
873 -
download
2
Transcript of Gestational diabetes
GESTATIONAL DIABETESBy: Patrick Perche, Elizabeth Kelley, and
Jamie Horne
What is gestational diabetes?•A type of diabetes that women get during pregnancy.
• Pregnancy hormones can block insulin from doing its job.
Insulin A hormone that lowers the level of glucose in
the blood.Made by the beta cells of the pancreas and
released into the blood when the glucose level goes up.
Who is affected?Women during pregnancy1 in 5 pregnant women have gestational
diabetesMore common in pregnant women over the
age of 25More likely in Hispanic, Black, Native
American, or Asian womenMore likely in overweight/obese mothersThe child can also be affected
CausesOlder than 25 when you are pregnantGave birth to a baby that weighed more than
9 poundsBaby has a birth defectHigh blood pressureToo much amniotic fluidPrevious unexplained miscarriage or stillbirthOverweight before pregnancyFamily history of diabetes
SymptomsUsually there are no symptoms, or the symptoms
are very mild. However symptoms may include:-Blurred vision-Fatigue-Frequent infections, including those of the
bladder, vagina, and skin-Increased thirst-Increased urination-Nausea and vomiting-Weight loss despite increased appetite
How do you KNOW?Usually starts about halfway through
pregnancyAll pregnant women should receive an oral
glucose tolerance test-Oral glucose tolerance test: laboratory
method to check how the body breaks down (metabolizes) sugar.
Once diagnosed, test glucose at home by pricking your finger with a glucose reading machine.
Monitoring Blood Sugar Levels
Time of Test Target Blood Sugar Reading
Before Breakfast Plasma: below 105. Whole blood: below 95
2 Hours after Meals
Plasma: below 95. Whole blood: below 120
The goal of monitoring is to keep your blood sugar as close to normal as
possible.
These ranges include:
TreatmentWatching your
Baby-check size and health of baby through ultrasound and nonstress tests-nonstress test: machine hears and displays baby’s heart rate and compares pattern of heartbeat to movements
Diet and Exercise-eat a well planned diet to have the right balance of proteins, fats, and carbs-exercise allows your body to use glucose without extra insulin
ExpectationsMost are able to control the disease and
avoid harm to themselves and their babyLarger babies at birthBirth injury because of large sizeDelivery by c-sectionBaby is more likely to have hypoglycemia
(periods of low blood sugar) during the first few days of life
How will it affect your baby?If your baby is too overweight, it can lead to
macrosomia-macrosomia: “big baby syndrome”;
fetus is abnormally large Overweight in childhood and adulthoodChances if jaundice are increased
ComplicationsDelivery-related complications due to the
infant's large sizeDevelopment of diabetes later in lifeIncreased risk of newborn death and stillbirthLow blood sugar or illness in the newborn
PreventionBeginning prenatal careKnowing the risk factorsPrenatal screening at 24-28 weeks
pregnantLosing weight before getting pregnant
Nutrition Basics for Women with Gestational Diabetes
•3 small meals and 2-3 small snacks•Less carbs at breakfast•Choose foods high in fiber•Choose foods with less sugar and fat•Drink 8 cups of liquid per day•Get enough vitamins and minerals
Sources Storck, S. (2011, October 12). Gestational diabetes: Glucose intolerance during
pregnancy. Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001898
Definition of Insulin. (2010, July 25). Retrieved from http://www.babycenter.com/0_gestationaldiabetes_2058.bc
Health and Pregnancy. Gestational diabetes- Treatment Overview. (2011, March 7) Retrieved from http://www.webmd.com/baby/tc/gestational-diabetes-treatment-overview
Marin, Lucian (2008,November) Retrieved from http://fatbabies.wordpress.com/ Kassir, Kari (2011, September) Macrosomia. Retrieved from
http://pediatrics.med.nyu.edu/conditions-we-treat/conditions/macrosomia Wooley, Elizabeth (2001, November 1) Nutritional Basics for Women with
Gestational Diabetes. Retrieved from http://www.diabeticmommy.com/34-gestational-diabetes-diet.html
WebMD (2005-2012) Pregnancy and Gestational Diabetes. Retrieved from http://diabetes.webmd.com/guide/gestational_diabetes?page=3
American Diabetes Association (1995-2012) Gestational Diabetes. Retrieved from http://www.diabetes.org/diabetesbasics/gestational/?cr=redcpcggfreeinformationgestational&gclid=CPToudaCt64CFQpU7AodfV2enw