Gestational Diabetes

By: | Tags: | Comments: 1 | September 20th, 2016

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
  • Overweight
  • Family history of diabetes
  • African, Hispanic, or Native American
  • Previous baby 9lbs or greater

Signs of gestational diabetes:

  • Polyuria
  • Polydipsia
  • Polyphagia
  • Diagnosis:
  • 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

Treatment includes:

  • Blood glucose monitoring
  • Diet
  • Exercise
  • 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?

Answers:

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.

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