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Family care nursing assignment- Gestational Diabetes.docx -...

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Gestational diabetes mellitus (GDM) is a significant pregnancy complication that occurs onlyduring pregnancy and causes chronic hyperglycemia in women who have never had diabetes(Jasmine et al., 2018). Gestational diabetes can be divided into two categories. Through diet andexercise, women with class A1 can manage their condition. Class A2 patients must take insulinor other drugs (David et al., 2019). Furthermore, hyperglycemia is caused by impaired glucosetolerance caused by pancreatic B-cell dysfunction in the context of chronic insulin resistance(Jasmine et al., 2018). In addition, the primary function of B-cells is to store and produce insulinin response to a glucose load. When B-cells lose the ability to adequately detect blood glucoseconcentration, or to release sufficient insulin in response, this is classified as B-cell dysfunction(Jasmine et al., 2018). Your body produces insulin, a hormone that aids in regulating the amountof glucose (sugar) in your blood. The amount of sugar in your blood will increase if your body isunable to create enough insulin (David et al., 2019).During pregnancy, women are unlikely to have any symptoms of gestational diabetes, you willbe screened for the condition while pregnant (Brar, 2021). The symptoms of gestational diabetesare comparable to those of other common pregnant symptoms such as increased thirst, unusualhunger, frequent urination, exhaustion, and excessive sweating (Brar, 2021). In addition,gestational diabetes is detected between 24 and 28 weeks of gestation utilizing a sequentialscreening procedure that begins with a 50-g oral glucose challenge test and then progresses to a75-g oral glucose tolerance test (OGGT) (Lewis et al., 2018). This test determines howefficiently your body produces insulin. In addition, the pregnant woman consumes 50 g of anoral glucose solution during the prenatal screening test for gestational diabetes (fasting is notrequired), and an hour later, a blood sample is obtained and tested for glucose (Leifer & Keenan-
Lindsay, 2019). Furthermore, if your screening test reveals that your blood sugar is too high, youwill be required to perform a longer test known as the oral glucose tolerance test. A 3-hourglucose tolerance test is performed if the blood glucose level is 7.8 mmol/L or above (Leifer &Keenan-Lindsay, 2019). You must fast for 8 hours before consuming a sweet liquid for this test(Brar, 2021). Your blood will be drawn many times before the test, then one, two, and three hoursafterwards gestational diabetes is then diagnosed if one test result shows the blood sugar levelsare too high (Leifer & Keenan-Lindsay, 2019).Factors associated with a woman having a high risk for gestational diabetesare body mass index (BMI) ≥30 kg/m2, history of macrosomic infant (>4 000g or about 9 lb [Fig. 5.7]), maternal age greater than 35 years, previousunexplained stillbirth or infant having congenital abnormalities, history ofgestational diabetes in a previous pregnancy, family history of diabetesmellitus, and using corticosteroid medication (Leifer & Keenan-Lindsay,2019).

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