Gestational diabetes mellitus (GDM) is an intolerance of glucose documented for the first time during pregnancy. It is usually a short-term type of diabetes and the most common health problem with pregnant women. GBM is caused by the way the hormones in pregnancy affect the mother. GDM accounts for 5-7% of all pregnancies (American Diabetes Association, 2010). During pregnancy the placenta develops and becomes the main bond between the mother and the baby. It is used to make sure the baby has and gets enough nutrients. The placenta makes several hormones which make it hard for insulin to control blood glucose and block the action of the mother’s insulin in her body (American Diabetes Association, 2010). Hormonal changes during the …show more content…
This is also known as diabetes (Baby Center, 2011). Some of the most common signs and symptoms of diabetes are polyuria, polydipsia, and polyphagia. These symptoms cause a ripple effect and one causes another to happen. Polyuria is excessive urination that is very common in diabetes. This happens when excess sugar builds up in the blood, during which the kidneys work harder to filter and absorb the extra sugar that cannot be reabsorbed. This excess sugar is excreted in the urine along with large losses of water. This is also known as osmotic diuresis. This causes frequent urination and also can cause dehydration (Mayo Clinic, 2010). The dehydration then causes polydipsia, also known as excessive thirst. This is also caused by the increased level of blood glucose. This again, is caused when water is pulled from the cells and also from the large loss of water. When you lose sugar with polyuria you also lose calories which cause polyphagia. The body tents to hold on to the sugar and prevent it from reaching the cells which makes the body use fat stores and cellular protein for energy. This then leads to excessive hunger (Mayo Clinic, 2010). Other common symptoms can include glucosuria which happens when glucose is seen in the urine despite what the blood sugar may be. When there is too much glucose in the body the renal system cannot remove all the sugar.
Polydipsia: increased fluid intake. It is due to high blood glucose that raises the osmolality of blood and makes it more concentrated. With frequent urination, increase water intake becomes necessary. Severe dehydration and electrolyte imbalance can occur. Diabetes may cause blood glucose levels to rise which can lead to increased glucose levels that cause one’s body to pull fluid from cells into the bloodstream and deliver the increased load to the kidneys. This can cause one’s kidneys to over work and produce more urine than normal.
During a pregnancy these increased hormones are made by the placenta, which is helping move nutrients from the mother to the baby, and also making hormones to prevent the mother from developing low blood sugar by stopping the actions of insulin (Seibel, 2009).” A pregnant woman’s pancreas is usually able to produce more insulin to overcome the effect of the pregnancy hormones; however, if for some reason a women’s pancreas cannot make up the difference the blood sugar levels will rise and gestational diabetes will occur.(Seibel, 2009)
Amanda manages her gestational diabetes with diet. She experiences a few episodes of postprandial hyperglycemia, but does not have to go on insulin. At her 36-week
1. What are the symptoms of diabetes? Symptoms of diabetes include excessive thirst or urination, fatigue, weight loss, or blurred vision. 2.
CAUSES OF ALBUMINURIA High blood pressure, Congestive heart failure Metabolic syndrome, or kidney damage from nephrotic syndrome ALBUMINURIA is seen in all forms of acute and chronic renal diseases GLUCOSE Glucose is found in the blood and is the main sugar that the body manufactures Glucosuria- The presence of glucose or blood sugar in urine is. It may indicate that the person has diabetes. Diabetes Mellitus - condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced, so that glucose in the blood cannot be absorbed int o the cells of the body. SYMPTOMS OF DIABETES MELLITUS frequent urination increased thirst increased hunger The treatment includes changes in diet, oral medications, and in some cases, daily injecti ons of insulin.
Gestational diabetes is a disease that affects pregnant women it’s a glucose intolerance that is started or diagnosed during pregnancy. Based on recently announced diagnostic criteria for gestational diabetes, according to the American Diabetes Association, it is estimated that gestational diabetes affects 18% of pregnancies. Pregnancy hormones can block insulin therefore causing the glucose levels to increase in a pregnant woman’s blood. Gestational diabetes starts when your body is not able to make and use all the insulin it needs for pregnancy (American Diabetes Association). Without enough insulin, glucose cannot leave the blood and be changed to
Diabetes symptoms start off with, urges to urinate, and increasing thirst and hunger. But when diabetes is not treated carfully and properly it can damage vital organs and lead to
Frequent urination leads to excessive water loss and dehydration, which seriously jeopardizes health. Being extremely thirsty is another symptom. A person becomes thirsty because of the loss of water through urine. Excess sugar concentrates the blood, which also triggers thirst. Fatigue occurs because glucose is unable to be effectively used as a fuel by muscle cells. They are "fuel deprived" and are less able to perform work. Dehydration also causes fatigue. Weight loss is another symptom of a diabetic. It may be slow or rapid. Lots of people with early diabetes actually eat more and still continue to lose weight. This is due to the amount of water loss and the increased breakdown of fat and protein tissues, as the body makes up for poor glucose utilization. Hunger is also a symptom because glucose is unavailable to cells as fuel. Blurry vision develops as the rapidly rising blood sugar levels cause fluid shifts in the lens of the eye. Lastly, infections of the gums, bladder, skin, and vagina become harder to treat. This is
The body tends to deal with this imbalance by filtering out excess glucose throughout the kidneys, resulting in high levels of sugar in the urine. As glucose level rises the kidneys over-whelmed and don’t function normally. They lose their ability to absorb much water the result is frequent urination. This is commonly the earliest sign of diabetes. It is often followed by unquenchable thirst as the body tries to regain the lost fluids. It often seems that more fluid comes out than went in.
One of the most common medical disorders of pregnancy is gestational diabetes mellitus (GDM). Diagnosing, treating, and managing health outcomes for the mother and baby can be challenging. The impact of GDM can be far reaching past the postpartum period, and can affect both mom and baby for years to come. The purpose of this paper is to review the pathophysiology of GDM, explore the available treatments and discuss the impact and how education is essential in the management of GDM.
Diabetes mellitus (DM) is one of the most prevalent diseases affecting the endocrine system. The incidence of DM in the United States has reached over 29 million citizens (Diabetes Latest, 2014). Of the 29 million, the Centers for Disease Control and Prevention (2014) estimate that 1 in 4 are unaware of their condition. DM can be categorized into three different diseases: Type One, Type Two, and Gestational. Types one and two are diagnosed anytime throughout a patient’s life; gestational is DM that is diagnosed during pregnancy. This paper will focus on types one and two. DM is a disease that presents many challenges for the patient. Through an effective medication regimen and healthy lifestyle modifications, the patient is able to live a
The common definition of gestational diabetes mellitus (GDM) is glucose or carbohydrate intolerance with onset, first recognition or first diagnosis during pregnancy; it is a common complication in pregnancy that typically ends a few weeks after birth (Coustan, 2013; Zhang & Ning, 2011; Brown, 2011). Although the causes of GDM are not known, it appears that hormones from the placenta lead to insulin resistance in the mother; this insulin resistance combined with an inadequate insulin secretion to compensate for its resistance has a central role in the pathophysiology of GDM, which can then lead to hyperglycemia and gestational diabetes mellitus (Zhang & Ning, 2011; Blake, Munoz, & Volpe, 2014). It is thought that women who develop GDM
One of the most common metabolic disorders during pregnancy is gestational diabetes mellitus (GDM) and its occurrence continues to increase (8). The 2004 analysis by the Center for Disease Control and Prevention states that cases of GDM are at 9.2%. The American Diabetes Association defines GDM as a condition where glucose levels are higher than normal either at the start or during pregnancy (1). The definition is used whether insulin or only diet modification is used for treatment and even if the condition continues after pregnancy (1). MNT is currently part of the treatment to provide adequate calories and nutrients to meet the needs of pregnancy and manage GDM. Therefore, the objective of this literature search was to demonstrate the
Gestational diabetes is a disease that only affects pregnant women. Gestational diabetes is high blood sugar that starts or is first diagnosed during the second trimester (24th week) of a pregnancy. A diagnose of gestational diabetes does not necessarily mean that you had diabetes before, or that you will have diabetes after birth. It is becoming more common in women to carry on diabetes even after giving birth, due to non-treatment of the disease. It is very important that you follow up with your doctor during the length of your pregnancy, or if considering getting pregnant.
Gestational diabetes is one of the most commonly seen conditions in pregnant women. Hormonal changes make it difficult for a mother to know if she has gestational diabetes. An expectant mother should educate herself on how to obtain a healthy pregnancy. Keeping a balanced diet and exercising will help with this condition and set the mothers mind at ease. Knowing that you are fueling not only your body, but also your growing baby’s body can eliminate most fears of harming the baby. In conclusion, gestational diabetes can be treated and monitored to help mothers maintain their health and their baby’s health.