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Transcript of Gestational Diabetes
Gestational diabetes is a type of glucose intolerance where the first symptoms first present themselves in pregnancy.
(Whitelaw & Gayle, 2011)
Between 1998 and 2013 there were 24, 392 cases of gestational diabetes
Average age of patient with gestational diabetes was 33 years old
It affects 3-8% of all pregnancies
Accounts for 90% of all diabetes in pregnancy (Moore, 2013)
Almost half of these women who suffer from gestational diabetes will develop type 2 diabetes after giving birth
Previous history of GDM
Family history of diabetes
Previous Macrosomic Pregnancy
Polycystic Ovary Syndrome
Signs and Symptoms
Some women are asymptomatic.
Some women suffer from excessive thirst, urination and fatigue.
The screening test available is a non-fasting glucose test.
If more than 7.2 mmol/l of glucose a secondary test is conducted called an oral glucose tolerance test.
Increase insulin resistance.
Placenta produces cytokines which increase the risk of gestational diabetes.
Glucose in the blood can circulate to the baby
Baby may not produce enough insulin to combat the
excessive glucose produced by mother.
Light Physical Activity
Monitoring Blood Glucose Levels
Baby after birth
Having gestational diabetes may increase the size of the baby which in turn increases the chances of the child developing obesity and type 2 diabetes.
Macrosomia -> premature birth -> respiratory distress.
If mother develops ketones it can cross the placenta and be harmful to the baby.
Babies glucose level may be affected by the mothers glucose level during breastfeeding.
Mother After Birth
40-60% chance of developing type 2 diabetes 5-15 years after giving birth.
Mother may not be resistant to insulin anymore.
Testing is recommended up to 2 weeks after delivery.
Glucose tolerance test.
Development of gestational diabetes in future pregnancies.
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