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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...
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.
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 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.
...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.
There are three types of diabetes, which are Type 1 diabetes, type 2 diabetes, and lastly gestational diabetes. Type 1 diabetes is commonly founded in children and adolescents, this occurs when the pancreas is at a point of not producing insulin. Insulin is naturally produced as a hormone by the pancreas in order to keep the body in homeostasis, then synthetically produced and injected manually to prevent having hyperglycemia. Approximately 10 percent of the society happens to have type 1 diabetes. The other 90 percent of the diabetics have type 2 diabetes; type 2 diabetes is when the pancreas is not producing enough insulin or when the body does not use the insulin produced properly. This type of diabetes occurs mainly in adults and due to this factor, children are at risk of getting diabetes because it is in their genetic traits. Gestational diabetes, which is the third type of diabetes, is considered to be a temporary condition that occurs during pregnancy. The pregnancy is a risk factor for the mother and the child because 2 to 4 percent of all pregnancies involve an increase risk of developing diabetes ("Canadian diabetes association," 2014. p. 1). Diabetes has a large impact on an individual’s life; responsibilities are increased by making sure one is taking the proper dosage of insulin, having the proper amount of food and making sure one gets their proper exercise; though more care is required compared to another individual living a life without any precautions. In Canada the rate of diabetes is slowly increasing due to many other factors. According to the Canadian Diabetes Association (2014), it is estimated that out of the nine million Canadians, approximately 5.4 million have pre-diabetes (p.1).
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).
Various ethnicities of women who develop Gestational diabetes are Caucasion, African American, Hispanic, and Asian and Pacific Islanders. Women who are at risk for developing gestational diabetes are overweight women those who have a BMI of 30 or higher, high blood pressure, woman who are over 25 years old, previous miscarriages or stillbirths, and a family history of diabetes. Along with developing gestational diabetes the woman can have problems often leading to hypertension and preeclampsia during birth. Hypertension during pregnancy is when the woman will develop a blood pressure of 140/90. Hypertension is a dangerous factor considering that it can lead to other problems during pregnancy such as edema, proteinuria, and effects on the fetus. Edema can occur when inc...
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. ...
Performance Characteristics of Postpartum Screening Tests for Type 2 Diabetes Mellitus in Women with a History of Gestational Diabetes Mellitus: A Systematic Review, 18(7), Retrieved from http://lib-proxy.calumet.purdue.edu:2461/ehost/pdfviewer/pdfviewer?hid=15&sid=af725124-1c4c-4d18-9e92-35d14ad23d66%40sessionmgr4&vid=15&sid=af Diabetes Information Hub -. (2011). The 'Standard' of the 'Standard'. Retrieved from http://diabetesinformationhub.com/GestationalDiabetes.php. Mayo Clinic. (2010).
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.
...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
"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.
In order to prevent or decrease the risk of Gestational diabetes, all pregnant women have to test for gestational diabetes. If the result of the test is positive, the mother will need to change her diet, exercise, and use insulin to make the glucose level normal.