Gestational Diabetes - Essay Example

Comments (0) Cite this document
It is a condition characterized by high levels of glucose during pregnancy due to insufficiency in insulin secretion, which causes intolerance to carbohydrates. The condition commonly…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER94.3% of users find it useful
Gestational Diabetes
Read TextPreview

Extract of sample "Gestational Diabetes"

Gestational Diabetes Mellitus      Gestational Diabetes Introduction Gestational diabetes mellitus (GDM) is a type of diabetesthat develops during pregnancy. It is a condition characterized by high levels of glucose during pregnancy due to insufficiency in insulin secretion, which causes intolerance to carbohydrates. The condition commonly manifests in the first two trimesters (Perry, Marilyn & Deitra, 2011).
GDM accounts for 90% of diabetic cases that occur during pregnancy, and causes approximately 4% of pregnancy complications. The condition is disproportionately higher among American Hispanics, Blacks and Asians in comparison to Caucasian Americans. The condition often leads to the development of glucose intolerance among women with GDM, and at least 50% of those developing the intolerance become diabetic in a period of 5-10 years (Perry et al., 2011).
GDM Risk Factors
GDM risk factors include obesity, maternal age (higher risk at >30), family history of diabetes and a medical history of birth anomalies, miscarriage or still births. Other risk factors include glucosuria, hypertension and monilial vaginitis (Perry et al., 2011).
GDM Pathophysiology
The mechanism underlying the condition is a result of multiple factors including changes in nutrient demands by the fetus. These changes that begin in the late second trimester induce maternal sustenance of high blood glucose. Pregnancy placental hormones are responsible for the antagonism of insulin and cortisol, which results in the insulin resistance and less entry of glucose into cells. Normal body functioning elicits higher insulin production to compensate the resistance, and when this fails GDM occurs (Perry et al., 2011).
GDM Complications
GDM often leads to further health complications including hypertension, episiotomy and perineal lacerations. The high levels of insulin stimulate faster growth, which often leads to macrosomia that necessitates caesarian births (Perry et al., 2011). The induced high insulin production among the babies born after GDM often leads to hypoglycemia.
Screening of GDM
Ideally, all women should be screened for GDM, and this can be done either through laboratory tests, clinical risk factors or medical and family history. It is essential for women with a family history of diabetes as well as obese and overweight women to undergo laboratory test. The same is recommendable for women aged above 25 and with a history of obstetric conditions associated with GDM. The laboratory tests include fasting glucose test, random glucose test and two-hour postprandial test (Perry et al., 2011).
Antepartum Interventions: GDM treatment interventions begin immediately through insulin administration so as to control blood glucose levels. Training on self monitoring of glucose is also administered and patient made aware of possible complications, especially for women that did not initially have pre-gestational diabetes. Apart from insulin therapy the patient learns the use of exercising and diet control in controlling blood glucose levels. Fetal surveillance is also conducted regularly by the physicians (Perry et al., 2011).
Intrapartum Interventions: Fetal surveillance and insulin therapy continuous preferably through intravenous means.
Postpartum Interventions: assessment of carbohydrate intolerance continues because of the possibility of its recurrence or continuation. Cases involving obese mothers call for education on lifestyle change as well as education of all mothers with GDM on the care of their children because of the future risk of developing diabetes (Perry et al., 2011).
Perry, E. S. Marilyn, J. H. & Deitra, L. L. (2011), Maternal Child Nursing Care, 4th edition, Elsevier Health Sciences Read More
Cite this document
  • APA
  • MLA
(“Gestational Diabetes Essay Example | Topics and Well Written Essays - 250 words”, n.d.)
Retrieved from
(Gestational Diabetes Essay Example | Topics and Well Written Essays - 250 Words)
“Gestational Diabetes Essay Example | Topics and Well Written Essays - 250 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Gestational Diabetes


...22 May Type II Diabetes: Causes, Complications and Prevention Introduction: One of the major health problems that pose a threat for majority of people in the world is diabetes. This disease when linked with certain other diseases can also lead to death. In certain situations diabetes alone can also prove to be fatal. There are three main types of diabetes, namely: type I diabetes, type II diabetes and gestational diabetes (GDM). This paper focuses on type II diabetes and explores in detail its causes, related complications and prevention methods. Type II diabetes, also...
3 Pages(750 words)Essay

Diabetes gestational diabetes. It entails the inadequacy of insulin responsiveness and secretion. In pregnancies, it affects about 2%-5% of women but may increase or disappear after delivery. Similarly, it is essential to observe that this type of diabetes is treatable but needs watchful medical supervision especially during the period of pregnancy. On the other hand, about 20%-50% of women who have suffered gestational diabetes get type 2 diabetes in later life. Though gestational diabetes is temporary, if it is untreated it may destroy the health of a mother or the fetus (Regensteiner, et al 2009). In other...
4 Pages(1000 words)Research Paper

Bioinformatics and gestational diseases

...? Preeclampsia March 27, Preeclampsia is a serious hypertensive condition in pregnancy. Little is known about the actual cause of the condition, and even less about the genomic sequences related to the disease. This literature review looks at an overview of the existing studies performed since 2005, in order to draw conclusions based on their data. ROCK2, ACE, NOS3, H19, COMT, and STOX1 are all discussed as possibilities, though only H19 showed any serious promise as a causal link. Genes related to preeclampsia are more likely to be those related to cardiovascular function than to fetal growth or uterine health. Further research is indicated. Introduction Preeclampsia is a gestational disease of fairly common occurrence....
6 Pages(1500 words)Lab Report

Gestational diabetes and implementation Orem self-care model

...?Introduction Gestational diabetes is a type of diabetes mellitus with initial onset during pregnancy, frequently occurring in the last trimester (Harvard Medical School, 2009). Risk factors include: placental hormones; obesity with body mass index (BMI) of 30 or more; family history of Type 2 diabetes mellitus; age of 35 and above; high blood pressure; history of delivering babies heavier than 4000g; women of Hispanic, African American, Native American, South or East Asian and Pacific Islands descent (Manzella, 2008). One possible physiologic effect of pregnancy is the alteration of specific cytokines associated with inflammation, insulin resistance, and angiogenesis;...
8 Pages(2000 words)Research Paper

Gestational Diabetes

...? GESTATIONAL DIABETES (12 July GESTATIONAL DIABETES Gestational Diabetes (GD) is a serious problem faced by several women during pregnancy. The high blood sugar during pregnancy is mainly linked to the hormonal changes that inhibit the production of insulin. It is a very common problem and about 4 % of all pregnant women have GD. In other words in every 100 pregnancy in US, 3 to 8 women get GD. It is important to keep a check on the blood glucose level because an increased glucose level can result in deformities in the baby. Fetal and neonatal problems that are linked with GD mainly include amplified risk for miscarriage, stillbirth and...
6 Pages(1500 words)Research Paper


...Diabetes Physical therapists who wish to provide their patients with the best possible care should makeit a practice to stay current in research studies that may have an affect on the way in which they work with those patients. In working with diabetic patients, there are many advances happening all the time as researchers learn more about how diabetes affects the normal functioning of the body and how exercise and physical therapy play a part. By studying the chemical processes that occur when the body is in active motion, such as in exercise, researchers have discovered numerous advantages for the diabetes patient in maintaining a stable exercise routine as well as...
5 Pages(1250 words)Essay

Women With and Without Gestational Diabetes

...Introduction The incidence of gestational diabetes (GDM) occurs between 2% to 5% of all pregnancies (Gilmartin, Ural and Repke, 2008). Specificallythe lifetime risk of developing Type II diabetes after being diagnosed with GDM is between 30% (Kirk and Namak, 2009). In most cases, pregnant women who are either overweight or obese have higher risk of developing GDM. Due to the increased risk of developing type II diabetes after pregnancy, a lot of past and current studies were focused on analyzing the significance of lifestyle and poor diet in the development of GDM (Vargas, Repke and Ural, 2010; Clerisme-Beaty and Rand, 2009; Franz and Rosett, 2007; Brewster et al.,...
4 Pages(1000 words)Dissertation


... Diabetes: An Annotated Bibliography Dieren, S., Beulens, J. W. J., Schouw, Y. T., Grobbee, D. E. & Neal, B. .The global burden of diabetes and its complications: an emerging pandemic. European Journal of Cardiovascular Prevention and Rehabilitation, 17(1), 3 – 8. The researchers in this study appreciate the high prevalence rates of type 2 diabetes in both the developing and developed countries in the modern world. Collecting data from various secondary sources, the study cites the rise in inactivity and obesity, the ageing population and longevity of diabetes patients as the causes for increase in diabetes prevalence, with the study taking a global scope. The findings attribute a majority of socioeconomic burden in the society... to this...
2 Pages(500 words)Annotated Bibliography


...Exercise Prescription for Diseased Population of Introduction Exercise is as important as medication and other forms of therapy for diabetics. Hence, health care professionals should include an exercise plan for their patients. In fact, exercise, when aligned with the conditions and needs of a diabetic, is a rather effective medicine for a weak or ailing heart. This paper explores the recommended exercise prescription for middle-aged patients of gradually developing type 2 diabetes. Type 2 diabetes is caused by lack of activity and excess weight. According to the American Heart Association, a combination of aerobic exercise and strength training is ideal for type 2...
2 Pages(500 words)Essay

Gestational diabetes

...Gestational diabetes Gestational diabetes Gestation diabetes is a condition in which glucose level in the blood of a pregnant woman is above the standard level. The situation is common around the 24th week of pregnancy. The condition mainly occurs when the insulin receptor does not function properly. Sometimes the woman might produce more glucose than the body insulin can manage. Insulin supplements are thus critical in controlling this condition (Kim & Ferrara, 2010). The blood glucose level of the mother usually returns to normal after the baby’s birth, although she faces increased risk for type 2 diabetes. The born...
1 Pages(250 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Gestational Diabetes for FREE!

Contact Us