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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