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Gestational diabetes mellitus research paper
Gestational diabetes mellitus short note
Gestational diabetes mellitus short note
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Gestational Diabetes Diabetes develops when the body can't efficiently produce or use insulin made by the pancreas. Insulin is a hormone made by the pancreas that lets cells change glucose into fuel. When glucose accumulates in the blood in large amounts, it means that cells aren't getting the fuel they need. Gestational diabetes (GD) is a type of diabetes that can develop in a pregnant woman who did not necessarily have diabetes before becoming pregnant. This condition is caused by changes in a pregnant woman’s metabolism and hormone production where the body does not produce enough insulin to deal with the increased blood sugar of pregnancy. Symptoms of GD can include excessive thirst, more frequent urination, vaginal infections, and high blood pressure. GD almost always disappears once the baby is born and is usually not an indicator of the child developing diabetes later in life. While a woman is generally safe from complications from gestational diabetes, there are some very big risks to the baby. If gestational diabetes goes undiagnosed, there is a greater risk of stillbirth. Other complications can include a condition called macrosomia, where the baby is born weighing 9 ¾ pounds or more. Excessively large babies can make delivery more difficult for both mother and child and as a result, birth injuries are more common in these babies. Other problems include hypoglycemia in the baby shortly after birth. The risk of gestational diabetes is higher in women who are over 30 years old, have a family history of diabetes, are obese, and those who have previously had a macrosomic baby. Diagnosis and Management of Gestational Diabetes Screening for gestational diabetes has become routine in prenatal care and usually takes place ... ... middle of paper ... ...insulin adjustments becomes a primary goal. Most women with gestational diabetes return to normal glucose tolerance postpartum, however, they are at increased risk of developing gestational diabetes in any additional pregnancies and for getting type 2 diabetes later in life. Lifestyle modifications aimed at reducing or preventing weight gain and increasing physical activity after pregnancy is recommended and can reduce the risk of subsequent diabetes. Medical nutrition therapy for people with GD should be individualized based on a persons, height, weight, physical activity, food aversions, and other medical conditions. Monitoring of metabolic parameters, including glucose, lipids, blood pressure, and body weight, as well as the health of the developing baby, is important to assess the need for changes in medical nutrition therapy and to ensure successful outcomes.
According WebMD 2014. Diabetes mellitus (or diabetes) is a chronic, lifelong condition that affects your body's ability to use the energy found in food. There are three major types of diabetes. Type 1 diabetes mellitus, type 2 diabetes mellitus and gestational diabetes. It is a hormonal disorder of the pancreas either decrease in insulin level also known as hypoinsulinism or increase in insulin level also known as hyperinsulinism. Lowered amounts, insufficient of, or ineffective use of insulin leads to the disorder of diabetes mellitus. It is common chronic disease requiring lifelong behavioral and lifestyle changes. According to Peakman (2012). The development of type 1 diabetes mellitus is a genetic and an autoimmune process that results in destruction of the beta cells of the pancreas, leading to absolute insulin deficiency. There is usually a pre-diabetic phase where autoimmunity has already developed but with no clinically apparent insulin dependency. Insulin autoantibodies can be detected in genetically predisposed individuals as early as 6-12 months of age. In persons genetically susceptible to type 1 diabetes, a triggering event, possibly a viral infection the leads to production of autoantibodies that kill the beta cells and results in decline and a lack of insulin secretion. According to Wherrett. It is caused by impaired insulin secretion and insulin resistance and has a gradual onset. Those with type 2 diabetes may eventually need insulin treatment. Gestational diabetes mellitus is glucose intolerance during pregnancy in a woman not previously diagnosed with diabetes, this may occur if placental hormones counteract insulin, causing insulin intolerance. Complications in diabetes mellitus includes: Hypoglycemia it is ca...
These women could anticipate delays in normal growth and development for the fetus. The exact cause of post term pregnancy is unknown. The mother experiencing post term pregnancy is at risk for trauma, hemorrhage, infection, and labor abnormalities (Ward et al., 2016, p. 543). Labor induction prior to 42 weeks’ gestation prevents MAS and other complications. A biophysical profile measuring the heart rate, breathing and body movements, tone, and the amniotic fluid volume is used to monitor the fetus for intrapartum fetal stress that could cause passage of meconium. Diabetic woman is at high risk for preeclampsia or eclampsia, infection, hydramnios, postpartum hemorrhage, and cesarean birth (Ward et al., 2016, p. 383). In addition, fetal macrosomia prolongs labor due to shoulder dystocia. The glucose challenge test, and the 3- hour OGTT is used for gestational diabetes screening, done after 24 weeks of pregnancy. Abnormalities of the respiratory system as explained earlier are the most concerning complication of MAS, needing immediate
The pathophysiology of diabetes mellitus in is related to the insulin hormone. Insulin is secreted by cells in the pancreas and is responsible for regulating the level of glucose in the bloodstream. It also aids the body in breaking down the glucose to be used as energy. When someone suffers from diabetes, however, the body does not break down the glucose in the blood as a result of abnormal insulin metabolism. When there are elevated levels of glucose in the blood, it is known as hyperglycemia. If the levels continue to remain high over an extended period of time, damage can be done to the kidneys, cardiovascular systems; you can get eye disorders, or even cause nerve damage. When the glucose levels are low in one’s body, it is called hypoglycemia. A person begins to feel very jittery, and possibly dizzy. If that occurs over a period of time, the person can possibly faint. Diabetes mellitus occurs in three different forms - type 1, type 2, and gestational.
One of the most crucial health problems affecting the people of Kern County is diabetes. The risk factors include: being over the age of 45 years old, having high blood pressure, having pre-diabetes, coming from an ethnic minority or low income household, smoking, being overweight or obese, physical inactivity, and eating less than five fruits and vegetables a day. Diabetes is a chronic medical condition where people identify themselves with irregular quantities of blood glucose, which can be a cause from deficiencies in the making of insulin. There are two types of diabetes that people are diagnosed with. The first one is known as Type 1 diabetes, which has to do with influences in your genetics, and Type 2 diabetes, which is brought on by choices in your daily routine. Gestational diabetes occurs while you are pregnant, and if it is not monitored well pregnant women can develop Type 2 diabetes within 5-10 years (Diabetes in C...
The faulty responsiveness of body tissues to insulin normally entails the insulin receptor found in cell membranes. The other type, the gestational diabetes happens in women who have not been diagnosed with diabetes before and show elevated blood glucose amounts during pregnancy. There is no explicit reason that has been acknowledged but it is assumed that the hormones secreted dur...
Diabetes is a metabolic disease where the body is unable to produce any- or enough- insulin which causes high glucose levels in return. There are 3 different types of diabetes that people are most familiar with. Type 1 diabetes, which is an autoimmune disease where that person would need insulin from the second they’re diagnosed. Type 2 diabetes, which may take months or even years for a person to require insulin. With type 2 diabetes, the affected person is usually older and overweight. The third type that people are most familiar with is Gestational diabetes. GD occurs during pregnancy. Around 28 weeks gestation, the pregnant woman is instructed to go for a one hour glucose test to check for diabetes. Usually after the pregnancy, the diabetes goes away- although there are some cases where it doesn’t.
Diabetes is a disease that affects the body’s ability to produce or respond to insulin, a hormone that allows blood glucose (blood sugar) to enter the cells of the body and be used for energy. Diabetes falls into two main categories: type 1, or juvenile diabetes, which usually occurs during childhood or adolescence, and type 2, or adult-onset diabetes, the most common form of the disease, usually occurring after age 40. Type 1 results from the body’s immune system attacking the insulin-producing cells in the pancreas. The onset of juvenile diabetes is much higher in the winter than in the summer. This association has been repeatedly confirmed in diabetes research. Type 2 is characterized by “insulin resistance,” or an inability of the cells to use insulin, sometimes accompanied by a deficiency in insulin production. There is also sometimes a third type of diabetes considered. It is gestational diabetes, which occurs when the body is not able to properly use insulin during pregnancy. Type 2 diabetes encompasses nine out of 10 diabetic cases. Diabetes is the fifth-deadliest disease in the United States, and it has no cure. The total annual economic cost of diabetes in 2002 was estimated to be $132 billion, or one out of every 10 health care dollars spent in the United States. Diabetes risk factors can fall into three major categories: family history, obesity, and impaired glucose tolerance. Minority groups and elderly are at the greatest risk of developing diabetes.
second, prenatal testing, is a testing of a fetus at risk for the disease. The
...r Disease Risk in the Offspring of Diabetic Women: The Impact of the Intrauterine Environment. Experimental Diabetes Research, 1-10. Retrieved January 20, 2014, from http://www.ncbi.nlm.nih.gov/pubmed/23133443
medications, proper prenatal care, and consulting with doctor about medications are effective precautions during pregnancy. Also, if suffering with diabetes, anemia, hypertension, seizure, or nutritional deficiencies during pregnancy, then these must be controlled. After birth, do not shake baby, which can lead to shaken baby syndrome and brain damage. Do not expose children to lead, this can also lead to brain damage, and give proper immunizations at the right time for the child (Bachrach, 2012).
Gestational diabetes mellitus (GDM) is an intolerance of glucose documented for the first time during pregnancy. It is usually a short-term type of diabetes and the most common health problem with pregnant women. GBM is caused by the way the hormones in pregnancy affect the mother. GDM accounts for 5-7% of all pregnancies (American Diabetes Association, 2010). During pregnancy the placenta develops and becomes the main bond between the mother and the baby. It is used to make sure the baby has and gets enough nutrients. The placenta makes several hormones which make it hard for insulin to control blood glucose and block the action of the mother’s insulin in her body (American Diabetes Association, 2010). Hormonal changes during the pregnancy causes the body to be less sensitive to insulin. Insulin has the job of opening up the cells so that the glucose can get inside regulating the amount of glucose in the blood while glucose is the amount of sugar in the blood stream. In pregnancy, the body needs to make three times more insulin for control of the blood sugar. GDM is usually found within the second trimester of a pregnancy and increases until the end of the pregnancy. Usually within a few hours of delivery the condition resolves itself (American Diabetes Association, 2010).
The cause of premature birth is often unknown. Any pregnant woman could experience preterm labor. Some women are at a higher risk for experiencing preterm labor. One known risk factor is having a previous preterm birth. Carrying more than one baby, such as twins, triplets, or more, is a risk factor for premature birth. Problems with the uterus or cervix can cause a woman to have a premature birth. African-American women are approximately fifty percent more likely to have a premature baby compared to Caucasian women. Chronic health problems, such as high blood pressure, diabetes, and blood clotting disorders are also risk factors for premature births. Certain infections, cigarette smoking, alcohol use, or illicit drug use during pregnancy can cause a woman to deliver a baby preterm. Women who are underweight and overweight before becoming pregnant are also at a risk for not carrying a baby full term (Siega, Adair, & Hoebl, 1996). Sometimes doctors need to deliver a baby before full term because of concerns for the mother’s health, as well as the baby’s health. ...
...t compliance, and medication adherence is highly correlated with positive health outcomes. Thus, a medicine that maximizes patient adherence, delivers the same efficacy as previously used drugs, and shows no additional adverse effects is exceedingly likely to become the drug of choice. Of particular interest to researchers currently are the medications glyburide and metformin. As more and more research continues, it is hypothesized that these drugs will become part of the pharmaceutical regime in the treatment of gestational diabetes mellitus. In fact, both glyburide and metformin have been successfully prescribed to treat GDM in other countries for several years. Glyburide, especially, is predicted to gain the approval by the FDA in the coming years as, at least, a second line medication since it has shown to only cross the placenta in insignificant quantities.
"Diagnosis of Diabetes and Pre-diabetes” - National Diabetes Information Clearinghouse." Diabetes.niddk.nih.gov, 2012. Web. 27 Feb 2014.
Diabetes is a hazardous disease especially if it is left untreated. Diabetes can effect things such as your eyesight and blood circulation. Other complications of diabetes include kidney failure, coronary artery disease and peripheral vascular disease. Another hazardous risk of untreated diabetes include paralysis and amputation. Poor circulation in the lower limbs and other extremities result in amputation and gangrene. There is also a possible risk if suffering from a diabetic coma.