DIABETES MELLITUS

Aug 24, 2008

DIABETES MELLITUS - endocrine disorder in which the body is unable to produce enough insulin to meet the needs of glucose metabolism

CONTRIBUTING FACTORS:

  • family history of diabetes prior to diagnosis of gestational diabetes
  • hypertension, obesity,and 35 years old and above of age
  • previous history of hydramios or infant weight of above 9 lbs.
  • infant with congenital anomalies

POSSIBLE EFFECT OF DIABETES TO PREGNANT WOMAN:
  • infection may become severe
  • increase risk of pregnancy
  • big fetus will cause birth trauma- resulting hemorrhage

EFFECT TO FETUS:
  • hyperglycemia

MANAGEMENT:
  • maintain glucose level through use of diet, exercise and insulin
  • dietary control- includes caloric and glucose level
  • consistent exercise is encouraged unless signs of uteroplacental insufficiency occur
  • insulin as ordered by the obstetrician

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