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GESTATIONAL DIABETES: RISKS AND
MANAGEMENTAlyssa Smart-Patterson
Wiley College 2015Research Biology
Instructor: Dr. Kiflu Berhane
INTRODUCTION
GESTATIONAL DIABETES (GDM) Develops during pregnancy No symptoms Abnormal blood sugar Age 25 or older Minority high risk
INSULIN/ INSULIN RESISTANCE Made in pancreas Use glucose for energy Ineffective use of insulin-insulin
resistance Increases insulin need GDM-cant produce enough insulin
COMPARE
DIAGNOSIS Late pregnancy (24-28wks) Risk assessment Blood work (cbc with differential) Screening glucose challenge test Oral glucose tolerance test
TAKING PREVENTATIVE MEASURES Eat healthy diet Exercise ( as advised) Doctor visits (wellness check-ups) Rest Reduce stressors
RISK ASSOCIATED WITH GDM
Child: high blood sugar Macrosomia Hypoglycemia Respiratory distress syndrome Death Jaundice Child: develop type 2 diabetes
FOR BABY Ultrasounds Non-stress tests Kick counts
FOR MOTHER High blood pressure Preeclampsia C-section delivery Depression Type 2 diabetes Check ups!!!
TAKE ACTION!! Meet target range Healthy eating Exercise Medication (insulin)
SAMPLE MEAL PLAN
POSTPARTUM Test glucose 6-12wks after Most return to normal Type 2 diabetes high probability Test every 3 years
HEALTHY START: BREASTFEEDING Best nutrition Lactation consultant
Q&A