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Postpartum management for gestatonal diabetes mellitus: Policy and practice implications - Essay Example

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Gestational diabetes mellitus is a medical condition characterized with the onset glucose intolerance during pregnancy .It is recorded as the foremost common metabolic disorder and complication during pregnancy, with reported estimates of 1-14% of cases in each population. It…
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Postpartum management for gestatonal diabetes mellitus: Policy and practice implications
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Postpartum management for gestatonal diabetes mellitus: Policy and practice implications

Download file to see previous pages... Added advantages include the ability to educate and treat the women while equipping them with skills to cope with the condition.
Since type 2 diabetes is preventable with the correct lifestyle changes, pregnant women represent an ideal focus group in the pursuit of ways of delaying or preventing the progression of type 2 diabetes. Preventive measures are hindered by poor primary care efforts of detecting diabetes, poor practice recommendations, lack of awareness on the need to institute lifestyle changes, and a lack of adherence to the set guidelines by health care providers.
Reviewing the pathogenesis of gestational diabetes mellitus, clinical practice recommendations by institutions like the American College of Obstetricians and Gynecologists, links to diabetes after pregnancy and adherence to guidelines is crucial.
The American College of Obstetricians and Gynecologists (ACOG) is on the forefront of setting guidelines that are followed when dealing with the management of gestational diabetes mellitus. Despite the advantages of the 1-step approach, there have been claims of it increasing the frequency of gestational diabetes by two to three times. This is supported by the fact that, roughly 280 million women develop gestational diabetes mellitus every year in the US, which represents 7% of the total population of women giving birth. This is partly due to the increase in obesity levels in the general population and the increased number of women in advanced years giving birth. Other risk factors include being genetically predisposed to diabetes due to ethnicity and family medical problems. The need for a 2-step approach is therefore warranted.
The approach is based on screening the administration of a 50g oral solution accompanied by a venous glucose for 1 hour. Women that range around or above the put threshold, are subjected to an oral diagnostic glucose tolerance test for 3 hours. The test is normally conducted in all pregnant women between ...Download file to see next pagesRead More
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