Transcript: Effects for the mother The babies abnormal size could cause conflicts during the delivery. The baby could get nerve damage in either one of their shoulders during birth. This child has a very increased chance of becoming obese or overweight later in life. This child also has a very big chance to become diabetic if overweight later in life. FACT: For every 100 pregnant women in the U.S 2/10 will have Gestational Diabetes THANK YOU HOMOSAPIANS what is Gestational Diabetes Gestational Diabetes The effects for the child Gestational Diabetes is when a pregnant women is diabetic. When this occurs the child is usually born larger than normal. Being diabetic and pregnant affects how the mother's body uses sugars. During the pregnancy the mother's blood sugar is high after the pregnancy it should return to normal. Although this out the mother at risk of developing two othe types of diabetes. The mother could develop insulin resistance. This occurs when the creation of specific made in the placenta disrupt insulin's ability to manage Glucose. As the placenta enlarges the more hormones created increases the insulin resistance. Women could typically find out if they have Gestational Diabetes between the 24th and 28th week of pregnancy. The Way out
Transcript: Basic Facts C A U S E S Symptoms Diagnosing Treatment N O I T N E V E R P * Glucose testing * * @ Glucose Testing * Healthy meal plans ~ Excessive Thirst + Follow the Gestational Diet # Rise in blood sugar that affects the growth of the baby # Blocked Insulin * * * # Hormones interfere with insulin functions Gestational Diabetes * :) About 18% of pregnancies are affected by Gestational Diabetes * # Hormonal changes caused by pregnancy * @ Eating the same amount of calories but in healthier foods + Maintain a healthy weight * * * Scheduled exercise @ Obese before pregnancy :) It can cause macrosomia or a "fat" baby because the baby is storing more energy than needed, so this extra stored energy becomes fat. ~ Increased urination * :) When untreated, this particular diabetes can harm the unborn child * Insulin injections * * * * * * + Get tested * * ~ Nausea and vomiting + Exercise at least 30 minutes a day * :) It happens usually to pregnant women around the 24th week of pregnancy. ~ Blurred Vision * * * * By Kelsey and Lynn * * * ~ Sometimes doesn't have symptoms @ Being slightly overweight before pregnancy *
Transcript: The mother's high blood sugar crosses placenta and enters baby's system through umbilical cord Unborn baby's pancreas responds to high blood sugar levels and produces large amounts of insulin, allowing cells to take in glucose, converting it into fat, and storing it. Baby becomes abnormally large Screening encouraged during second trimester Effect On Baby Treatment How Does It Differ From Typical DM? Further Effects Placental hormones block/interfere with insulin, causing "insulin resistance." Pancreas overcompensates for the resistance When that's not enough, the woman is said to have GDM about 5-10% Proper nutrition & exercise Nutritional counseling from an RD for specific meal plans based on height, weight, and activity level Don't skip meals, especially breakfast Avoid sugary foods If dietary control and exercise do not control blood sugar levels, insulin may be needed. What Is It? Risk Factors Obesity Family history Over the age of 25 Given birth to a baby over 9 lbs Previous occurrence of GDM African American, Indian, Asian, Hispanic/Latina, Pacific Island descent Gestational Diabetes Elissa Mattamana Hypoglycemia after birth, when baby and mother are no longer attached, baby is not getting mother's high blood sugar levels but already has large amounts of insulin circulating in bloodstream using up all the glucose. GDM is defined as high blood sugar that starts during pregnancy (ADA) Most common after twentieth week of gestation
Transcript: Intro to Diabetes what is gestational diabetes? The placenta produces insulin blocking hormones The rise in blood sugar levels affects the mother and baby Who it affects: mainly nonwhite races women older than 25 family history of diabetes overweight before pregnancy Treatment: 1.Visit your doctor 2.Lead a healthy life 3.Continue visiting your doctor Additional health concerns for the mother increased risk of type 2 diabetes high blood pressure preeclampsia & eclampsia Additional risks for the baby Big baby, possible c-section Early delivery, possible respiratory distress Low blood sugar Jaundice Type 2 diabetes Gestational Diabetes By Lara Garrity
Transcript: What is Gestational Diabetes? Is high blood sugar (diabetes) that starts or is first diagnosed during pregnancy Causes, Incidence, and Risk Factors Blurred vision Fatigue Frequent infections, including those of the bladder, vagina, and skin Increased thirst Increased urination Nausea and vomitting Weight loss despite increased appetite Symptoms Malia Reddick Gestational Diabetes Signs and Tests Used For Diagnosis Usually there are no symptoms, or the symptoms are mild and not life threatening to the pregnant woman. Starts about half through pregnancy (days ?) MOA 101 April 19, 2014 Are older than 25 when you are pregnant Have a family history of diabetes Gave birth to a baby that weighed more than 9 lbs. or had a birth defect Have high blood pressure (hypertension) Have too much amniotic fluid Have had an unexplained miscarriage or still birth Were overweight before your pregnancy You are at greater risk for gestational diabetes if:
Transcript: Prevention What women are at a higher risk for gestational diabetes? High blood glucose level in pregnant women. Lab Tests Lab test done 24th-28th week blood test oral glucose challenge test hemoglobin A1c Have a healthcare team that specializes in diet Begin prenatal care early If overweight, decrease BMI to normal range before pregnancy Have an adequate and balanced diet before and during pregnancy Mother and Baby Gestational Diabetes Definition Signs and Symptoms Increased I&O Increased hunger Fatigue Affects on Mother weight loss during pregnancy complications in delivery miscarriage or still birth increased risk of preeclampsia increased risk of type 2 diabetes Affects on Baby enlarged fetus hypoglycemia immediately after birth Treatments during pregnancy special meal plan for normal blood glucose level exercise check blood glucose level nonstress test insulin injections Treatments after birth baby hypoglycemia treatment mother needs to stay on special meal plan and exercise Diagnosing Treatment
Transcript: www.diabetes.org/diabetes-basics/gestational/ Treatment Organism Epidemiology Between 2 and 10 percent of expectant mothers develop this condition, making it one of the most common health problems of pregnancy. Prevention & Control Gestational diabetes usually has no symptoms. Monitor your blood sugar Eat a well-planned diet Exercise Take medication if necessary Close monitoring of your baby Glucose-screening test between 24 and 28 weeks Eat healthy foods Lose excess pounds before pregnancy Signs & Symptoms Source Gestational Diabetes is a type of diabetes at some women get during pregnancy. Hormonal changes during pregnancy make cells less responsive to insulin, if your pancreas can't keep up with the increased insulin demand during pregnancy, your blood glucose levels rise too high, resulting in gestational diabetes Gestational Diabetes Simone Yeary
Transcript: Gestational diabetes is a type of glucose intolerance where the first symptoms first present themselves in pregnancy. (Whitelaw & Gayle, 2011) Gestational Diabetes Increase insulin resistance. Hyperglycemia 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. 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. Hypoglycemia 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. Pathophysiology Insulin Injections References (2012, 21). Gestational Diabetes. Diabetes Australia - Diabetes Australia. Retrieved September 09, 2013, from http://www.diabetesaustralia.com.au (2012, 21). Gestational Diabetes. Better Health Chanel.Retrieved September 09, 2013, from http://www.betterhealthchannel.vig.gov.au American Diabetes Association. (2005). Gestational Diabetes: What to inspect. (5th ed.). American Diabetes Association Inc. USA. Barbour, L., McCurdy, C., Hernandez, T., Kirwan, J., Catalano, P., & Freidman, J. (2007). Cellular Mechanisms for Insulin Resistance in Normal Pregnancy and Gestational Diabetes.Diabetes Care, 30(2). Retrieved , from http://care.diabetesjournals.org doi:10.2337/dc07-s202 Chasan-Taber, L. 2012. Gestational Diabetes: Is It Preventable?. American Journal of Lifestyle Medicine. DOI: 10.1177/1559827611434401. Dunning, T. & Ward, G. (Eds). (2008). Managing Clinical Problems in Diabetes. Oxford: UK. Blackwell Publishing. Harlev, A., & Wiznitzer, A. (2010). New Insights on Glucose Pathophysiology in Gestational Diabetes and Insulin Resistance. Current Diabetes Reports, 10(3), 242-247. Retrieved , from http://link.springer.com doi:10.1007/s11892-010-0113-7 Moore, T. R. 2013. Diabetes Mellitus and Pregnancy. Medscape. Mocarski. M. & Savitz. D. A. 2012. Ethnic Differences in the Association Between Gestational Diabetes and Pregnancy Outcome. Matern Child Health 16:364–373. DOI 10.1007/s10995-011-0760-6 Rae, A., Sivakumar, P., Burbridge, H., Cheong-Duryea, A., & Chauhan, P. (2013). Healthy Eating for Gestational Diabetes. Government of Western Australia: Deparment of Health. Retrieved from http://kemh.health.wa.gov.au/brochures/consumers/wnhs0560.pdf Roy, M., Tomar, M., & Jindal, R. (2012). Recent advances in the treatment of gestational diabetes. Apollo Medicine, 9(3), 242-245. Retrieved , from http://www.apollomedicaljournal.net doi:10.1016/j.apme.2012.07.007 Touchette, N. (2005). American Diabetes Association complete guide to diabetes. (4th ed.). American Diabetes Association Inc. USA. Whitelaw, B. & Gayle, C. 2011. Gestational Diabetes. Obstetrics, Gynaecology & Reproductive Medicine. Volume 21, Issue 2, Pages 41–46. http://dx.doi.org/10.1016/j.ogrm.2010.11.001 Mother After Birth Patient Education Treatment Risk Factors 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 Gestational Diabetes Light Physical Activity Obesity Multiple pregnancies Previous history of GDM Family history of diabetes Ethnicity Maternal age Previous Macrosomic Pregnancy Polycystic Ovary Syndrome Twin Pregnancy 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. Signs and Symptoms Monitoring Blood Glucose Levels Drug Therapy Statistics Baby after birth Diet Management Jade McWaters Kate White Amanda White 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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