Name: Viah Angela T.

Caasi BSN12B Group 25

Gestational Diabetes Mellitus Risk Factors

Etiology: A condition typically occurs during

Signs and Symptoms Management M: Maternal Age 42 years
the 2nd or 3rd trimester of pregnancy, caused
old
by insulin resistance associated with
pregnancy Renal System: Kidney O: Overweight >25 or Obese
Screen for GDM
malfunction -> Urinary > 30 // Pt, BMI is 28.1
Early awareness and detection opens
tract infection
Symptoms: Fatigue, door for early care and treatment.
Disease Process Use of Diet & Exercise to manage M: Macrosomia // Baby is
Itchiness on genitalia
blood glucose and proper adherence 3900g
Hyperglycemia is characterized by Laboratory Findings: +2
elevated blood glucose levels. occult blood, +1 to medication such as metformin and
Leukocytes esterase, 20- insulin is more appropriate as oral M: Multiple pregnancies
Insulin
40 WBC, 10-21 RBC, +3 medication crosses the placenta and
Hyperglycemia encourages beta cells to Protein are potentially teratogenic to fetu. A: A history or family hx //
generate more insulin, which helps to Glucose monitoring (daily basis at Father & father’s sister is
Insulin lower blood glucose levels Cardiovascular System: home) best post-prandial diabetic
Resistance 130/80 blood pressure Assess urine for glucose every
(stage 1 hypertension). prenatal, ask client for burning
Insulin stimulates the absorption of High blood glucose If not treated:
glucose by cells in the mother’s tissue, sensation Without treatment, it can
levels, Macrocytic
leading in insulin resistance in the baby Risk factors blood glucose swings progress to diabetes mellitus type
Hyperglycemia anemia (mcv & mch)
during and after labor (monitor signs 2, which can lead to life-
of hypoglycemia for both mother and threatening consequences such
The placenta secretes a variety of Endocrine System: baby) maintain euglycemia levels. as heart disease and nerve
hormones that interfere with insulins Overweight: 28.1 BMI Adverse effects of gestational damage. It can also cause
Glucose to the
ability to act. diabetes monitoring such as HTN, UTI blindness and renal failure, as
fetus
& yeast infections risk for c-section, well as amputations. And the risk
Insulin resistance arises as a result of Other Diagnostic tools & hypoglycemia &respiratory distress of mortality for individuals with
Test Result; OGTT (baby) Blood glucose monitoring diabetes is 50% higher than the
Growth of the blood glucose not being absorbed
Fasting: 120mg/dl(overt risk for those who do not have
baby efficiently, resulting in hyperglycemia postpartum (OGTT, 6-12 weeks PP)
diabetes), 190mg/di, 165 diabetic complications.
(high blood glucose. Educate about importance of regular
mg/dl FBS: 6.9mmol/L
diabetic testing due to risk of If treated:
Macrosomic Baby
It is the rise in glucose levels that circulates in weighing 3900g Other developing DM 2 even if GDm Treatment and management of
Macrosomia
maternal and neonatal blood that causes the syptoms: Tiredness, disappears (1-3 years) diabetes can lead to remission in
fetal pancreas to generate insulin on its own nausea certain cases. In order to properly
control diabetes, one must:
Proper education and awareness
Fetal macrosomia is caused by the increased constant blood sugar monitoring
absorption of glucose by the fetus’s tissues (every 1-3 years), proper exercise
and balance diet