Gestational diabetes mellitus (GDM), “carbohydrate intolerance of variable severity with onset or fist recognition during pregnancy,” results from insulin resistance and relative insulin deficiency usually in second trimester.¹ • Gestational diabetes (GDM) impacts between 4% and 9% of all pregnancies. • Gestational diabetes (GDM) results in increased fetal complications of macrosomia, shoulder dystocia and neonatal hyperglycemia as well as maternal risks of preeclampsia and polyhydramnois. • Women who are Hispanic or Asian decent are at highest risk of developing GDM. • Diagnosis ² • Perform 75-gramoral glucose tolerance test (OGTT) at 24 – 28 weeks of gestation in women not previously diagnosed with diabetes • Diagnosis of GDM made when any of the following values are exceeded: • Fasting ≥ 92 mg/dL • 1 hour ≥ 180 mg/dL • 2 hour ≥ 153 mg/dL • Upon diagnosis of gestational diabetes, medical nutrition therapy, self-monitoring of blood glucose and fetal monitoring are initiated. • Both Landon and Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) studies support active management of gestational diabetes even in the mild form to decrease fetal complications.
- gestational diabetes,
Available at: http://works.bepress.com/sara_reece/3/