Gestational diabete1

Gestational diabete1 - Diagnosis Gestational Diabetes...

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Gestational diabetes Causes There are two main forms of Diabetes Mellitus in pregnancy: 1. Pre-existing (established) DM . This affects 1% of women of child-bearing age. 2. Gestational diabetes . This affects 2-3% of pregnant women. It usually develops in second/third trimester. If found in the first trimester, suspect DM which was present but undiagnosed prior to pregnancy. Women with GDM are detected through screening of women with high risk factors, or through the presence of maternal symptoms/signs or retrospectively when HbA1c is done to investigate IUD/stillbirth or a macrosomic baby. Risk factors include: Previous GDM Previous macrosomic baby FH of DM Afro-Caribbean/Mediterranean/SE Asian ethnicity.
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Unformatted text preview: Diagnosis Gestational Diabetes diagnosed at 24 to 28 weeks of gestation on the basis of elevated plasma glucose levels on oral glucose tolerance testing(OGTT). Steps for OGTT: 1. The women fasts for 12hours, and then measure her serum fasting glucose levels 2. The women then drink 75mg of glucose 3. Blood glucose levels are measured at 30, 60, 90 and 120 minutes. If more than 7.8mmol/L after 2 hrs = GDM. Remember all those who develop GDM have a 40-60% greater chance of developing DM in later life. It is possible to have chemical DM in which the OGTT is at a level for diabetes but there are no symptoms this has the same affects upon the foetus as symptomatic DM....
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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Gestational diabete1 - Diagnosis Gestational Diabetes...

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