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    Gestational diabetes mellitus (GDM) is a condition where women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Risk factors include obesity, hypertension, maternal age over 25, family history of diabetes, and previous delivery of a large baby. Symptoms may include hypoglycemia, hyperglycemia, shaking, and vomiting. Diagnosis involves screening tests such as a glucose tolerance test. Treatment focuses on tight blood glucose control through diet, exercise, insulin therapy if needed, and close fetal monitoring to prevent complications like spontaneous abortion, infections, and hypoglycemia. After delivery, women have a high risk of developing type 2 diabetes and require continued monitoring and lifestyle changes.

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    Gestational diabetes mellitus (GDM) is a condition where women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Risk factors include obesity, hypertension, maternal age over 25, family history of diabetes, and previous delivery of a large baby. Symptoms may include hypoglycemia, hyperglycemia, shaking, and vomiting. Diagnosis involves screening tests such as a glucose tolerance test. Treatment focuses on tight blood glucose control through diet, exercise, insulin therapy if needed, and close fetal monitoring to prevent complications like spontaneous abortion, infections, and hypoglycemia. After delivery, women have a high risk of developing type 2 diabetes and require continued monitoring and lifestyle changes.

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    Gestational diabetes mellitus (GDM) is a condition where women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Risk factors include obesity, hypertension, maternal age over 25, family history of diabetes, and previous delivery of a large baby. Symptoms may include hypoglycemia, hyperglycemia, shaking, and vomiting. Diagnosis involves screening tests such as a glucose tolerance test. Treatment focuses on tight blood glucose control through diet, exercise, insulin therapy if needed, and close fetal monitoring to prevent complications like spontaneous abortion, infections, and hypoglycemia. After delivery, women have a high risk of developing type 2 diabetes and require continued monitoring and lifestyle changes.

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    1K views1 page

    PDF

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    Gina Giammalvo
    Gestational diabetes mellitus (GDM) is a condition where women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Risk factors include obesity, hypertension, maternal age over 25, family history of diabetes, and previous delivery of a large baby. Symptoms may include hypoglycemia, hyperglycemia, shaking, and vomiting. Diagnosis involves screening tests such as a glucose tolerance test. Treatment focuses on tight blood glucose control through diet, exercise, insulin therapy if needed, and close fetal monitoring to prevent complications like spontaneous abortion, infections, and hypoglycemia. After delivery, women have a high risk of developing type 2 diabetes and require continued monitoring and lifestyle changes.

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    of 1

    ACTIVE LEARNING TEMPLATE: System Disorder

    Edison Macias
    STUDENT NAME______________________________________
    Gestational Diabetes Melitus
    DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER__9__________

    Alterations in Pathophysiology Related Health Promotion and


    Health (Diagnosis) to Client Problem Disease Prevention
    In the presence of insulin resistance, this uptake of blood glucose
    Gestational Hypertension is prevented and the blood sugar level remains high. The body
    then compensates by producing more insulin to overcome the Diet and Exercise
    resistance and in gestational diabetes, the insulin production can
    be up to 1.5 or 2 times that seen in a normal pregnancy

    ASSESSMENT SAFETY
    CONSIDERATIONS
    Risk Factors Expected Findings - Close monitoring of
    Obesity Hypoglycemia Baby
    Hyperglycemia
    Hypertension Shaking - (GDM) is an impaired
    Glycosuria Clammy pale skin tolerance to glucose with
    Shallow respirations
    Maternal age older than 25 years Rapid pulse the first onset or
    Family history of diabetes mellitus and preeclampsia Hyperglycemia
    Vomiting
    recognition
    Previous delivery of an infant that was large or stillborn Excess weight gain during pregnancy during pregnancy. The
    ideal blood glucose level
    during
    pregnancy should range
    Laboratory Tests Diagnostic Procedures between 70 and 110
    mg/dL.
    - Routine urinalysis - Biophysical profile to ascertain fetal - Symptoms of diabetes
    - Glucola screening test/1-hr glucose tolerance test well-being mellitus can disappear a
    - Oral glucose tolerance test few
    - Presence of ketones in urine - Amniocentesis with alpha-fetoprotein
    weeks following delivery.
    - Nonstress test to assess fetal well-being
    However, approximately
    50% of women will
    develop Type II diabetes
    mellitus within 5 years.

    PATIENT-CENTERED CARE Complications


    Nursing Care Medications Client Education - Spontaneous
    Instruct the client to perform daily kick counts. abortion
    - Monitor the client’s - Insulin Educate the client about diet, including standard
    diabetic diet and restricted carbohydrate intake.
    blood glucose. - Oral Educate the client about exercise.
    Instruct the client about self-administration of insulin. - Infections
    - Monitor the fetus hypoglycemic Educate the client about the need for postpartum
    laboratory testing to include OGTT and blood (urinary and
    therapy. glucose levels
    vaginal)
    - Glyburide
    - Metformin - Ketoacidosis
    Therapeutic Procedures Interprofessional Care
    - Hypoglycemia
    Diet - Physicians
    Physical activity - Nurses - Hyperglycemia
    Self-monitoring of blood - Diabetes educators
    glucose - Dietitians
    Insulin-therapy - Hydramnios

    ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A11

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