4 - Diabetes Mellitus Liu Wei Department of Ob & Gy Ren Ji...

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Diabetes Mellitus Liu Wei Ren Ji hospital
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General Consideration Diabetes mellitus complicating pregnancy Diabetes mellitus is diagnosed before this pregnancy Gestational diabetes mellitus (GDM) Carbohydrate intolerance of varying degree of severity with onset or first recognition during pregnancy. Incidence 1%-2% (our country); 1%-10% (other countries)
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The impact of pregnancy on DM The first half of pregnancy 1. Relative insulin sensitivity: insulin requirement↓ 2. Morning sickness: hypoglycemia The latter half of pregnancy 1. Increased insulin resistance: placental hormones↑ 2. Intake↓intrapartum: hypoglycemia 3. Postpartum: placental hormones↓→hypoglycemia
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Effects on mother and fetus Effects on monther 1. Spontaneous abortion 2. Preeclampsia 3. Infection: urinary infection 4. Polyhydramnios ( 羊羊羊羊 ) 5. Fetal macrosomia( 羊羊羊 ), dystocia( 羊羊 ) 6. Ketoacidosis ( 羊羊羊羊羊 )
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Effects on fetus
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This note was uploaded on 01/21/2012 for the course PDBIO 305 taught by Professor Woods,a during the Fall '08 term at BYU.

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4 - Diabetes Mellitus Liu Wei Department of Ob & Gy Ren Ji...

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