Gestational diabetes is glucose intolerance that begins during pregnancy. Hyperglycemia occurs because the placental hormones cause insulin resistance in the mother.
The risk factors for gestational diabetes include:
- 25 years or older
- Family history of diabetes
- African, Hispanic, or Native American
- Previous baby 9lbs or greater
Signs of gestational diabetes:
- Fasting glucose test greater 126 mg/dL (no calorie intake for 8 hrs) or 3 hour glucose tolerance test
How gestational diabetes affects the baby:
- Born overweight
- Experience hypoglycemia after birth
- Blood glucose monitoring
- Insulin-last resort
**Never give oral glycemics during pregnancy**
**On NCLEX always remember to check blood glucose level first before giving any treatment
NCLEX Review Questions:
What is the primary way to treat gestational diabetes?
How should clients with gestational diabetes deliver?
Blood glucose monitoring and Diet
By C-section due to baby size and prevention of injury
Note: Almost every student I have spoken with has had a diabetes/insulin question on their exam. Make sure you know this material. Get my complete notes in Quick Facts for NCLEX.