Gestational Diabetes

 

Gestational Diabetes: What to Know

Video taken from the channel: Atrium Health


 

Gestational Diabetes Class

Video taken from the channel: Parkland Memorial Hospital


 

Gestational Diabetes Mellitus (Pregnancy) Nursing Care, Symptoms for Maternity Nursing

Video taken from the channel: RegisteredNurseRN


 

Gestational Diabetes CRASH! Medical Review Series

Video taken from the channel: Paul Bolin, M.D.


 

Gestational Diabetes Webinar

Video taken from the channel: Beth Israel Deaconess Medical Center (BIDMC)


 

Gestational diabetes | NHS

Video taken from the channel: NHS


Gestational diabetes is a condition in which your blood sugar levels become high during pregnancy. It affects up to 10% of women who are pregnant in the U.S. each year. There are two classes of. Gestational diabetes can also start when the mother’s body is not able to make and use all the insulin it needs for pregnancy.

Without enough insulin, glucose can’t leave the blood and be changed into energy. When glucose builds up in the blood, it’s called hyperglycemia. Gestational diabetes is a type of diabetes that is first seen in a pregnant woman who did not have diabetes before she was pregnant.

Some women have more than one pregnancy affected by gestational diabetes. Gestational diabetes usually shows up in the middle of pregnancy. Doctors most often test for it between 24 and 28 weeks of pregnancy. Gestational diabetes is a type of diabetes that occurs only during pregnancy.

Gestational diabetes can cause health problems in both mother and baby. Managing your diabetes can help protect you and your baby. This condition is known as gestational diabetes mellitus (GDM) or gestational diabetes. Gestational diabetes typically develops between the 24th and 28th weeks of pregnancy. According to the.

Gestational diabetes is high blood sugar that you get only when you’re pregnant. The word “gestational” means the time when the baby grows in the womb. About 3 to 5 out of every 100 pregnant women. Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy.

Gestational diabetes generally results in few symptoms; however, it does increase the risk of pre-eclampsia, depression, and requiring a Caesarean section. Babies born to mothers with poorly treated gestational diabetes are at increased risk of being too large, having low blood sugar after birth, and jaundice. If untreated, it can also result in a stillbirth. Long term, childr. Gestational diabetes is first diagnosed during pregnancy.

Like type 1 and type 2 diabetes, gestational diabetes causes blood sugar levels to become too high. When you eat, your digestive system breaks down most of the food into a sugar called glucose. Glucose enters your bloodstream so your cells can use it as fuel. Gestational diabetes is diabetes, or high blood sugar levels, that develops during pregnancy.

It occurs in about 4% of all pregnancies. Gestational diabetes usually is diagnosed in the later stages of pregnancy, and often occurs in women who have no prior history of diabetes. Diabetic Diet: What to Eat for Gestational Diabetes. Gestational Diabetes Mellitus The purposes of this document are to provide a brief overview of the understanding of GDM, review management guidelines that have been validated by appropriately conducted clinical research, and identify gaps in current knowledge toward which future research can be directed.

Read the Practice Bulletin.

List of related literature:

Most women should be able to maintain glucose levels between 60 and l20 mg per dL (3.33 to 6.66 mmol/L).57 About 70% of pregnant diabetic women have increased insulin requirements after the 24th week, and requirements usually double by the end of pregnancy.

“Textbook of Therapeutics: Drug and Disease Management” by Richard A. Helms, David J. Quan
from Textbook of Therapeutics: Drug and Disease Management
by Richard A. Helms, David J. Quan
Lippincott Williams & Wilkins, 2006

that a threshold of 130 mg/dl in the first trimester provided a sensitivity of 91% for gestational diabetes at any time during pregnancy among a group of 43 high-risk patients, but in this study patients prepared assiduously for the screening test with 3 days of carbohydrate loading and an overnight fast.

“Diabetes in America” by National Diabetes Data Group (U.S.), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), National Institutes of Health (U.S.)
from Diabetes in America
by National Diabetes Data Group (U.S.), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), National Institutes of Health (U.S.)
National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 1995

A study in Diabetes Care in August 2001 showed that a normal pregnant woman without diabetes will have a blood glucose of between 55 mg/dl and 105 mg/dl one hour after meals from the 28th to the 38th week.

“Type 1 Diabetes For Dummies” by Alan L. Rubin
from Type 1 Diabetes For Dummies
by Alan L. Rubin
Wiley, 2011

Usually after the pregnancy, gestational diabetes resolves, though there is a greater risk for type 2 DM.

“Kinn's The Medical Assistant E-Book: An Applied Learning Approach” by Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver
from Kinn’s The Medical Assistant E-Book: An Applied Learning Approach
by Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver
Elsevier Health Sciences, 2019

If the woman had gestational diabetes with a previous pregnancy, it is best to assume she will have it again.

“Wilderness Medicine E-Book: Expert Consult Premium Edition Enhanced Online Features” by Paul S. Auerbach
from Wilderness Medicine E-Book: Expert Consult Premium Edition Enhanced Online Features
by Paul S. Auerbach
Elsevier Health Sciences, 2011

Severe hypoglycemia occurs in 30% to 40% of pregnant women with type 1 diabetes in the first 20 weeks of pregnancy, most often between midnight and 8:00 AM.

“Endocrine Secrets E-book” by Michael T. McDermott
from Endocrine Secrets E-book
by Michael T. McDermott
Elsevier Health Sciences, 2013

Gestational diabetes: insulin requirements in pregnancy.

“Sadikot's International Textbook of Diabetes” by Kamlakar Tripathi, Banshi Saboo
from Sadikot’s International Textbook of Diabetes
by Kamlakar Tripathi, Banshi Saboo
Jaypee Brothers,Medical Publishers Pvt. Limited, 2019

If a woman is not found to have Type II diabetes at that first prenatal visit or not deemed to be at risk for Type II diabetes, then screening should be done for those women at weeks 24–28 [69].

“Nutrition in Lifestyle Medicine” by James M. Rippe
from Nutrition in Lifestyle Medicine
by James M. Rippe
Springer International Publishing, 2016

This form of diabetes usually disappears when the pregnancy is completed, but 5 to 10% of women are diagnosed with type 2 diabetes after delivery, and having had gestational diabetes increases the risk of developing type 2 diabetes later in life (see Chapter 4).21 Gestational diabetes increases risks to the baby.

“Nutrition: Science and Applications” by Lori A. Smolin, Mary B. Grosvenor
from Nutrition: Science and Applications
by Lori A. Smolin, Mary B. Grosvenor
Wiley, 2019

The GTT should be carried out in early pregnancy if the patient has • a history of gestational diabetes • recurring glucosuria.

“Evidence-Based Medicine Guidelines” by Duodecim Medical Publications, Ilkka Kunnamo
from Evidence-Based Medicine Guidelines
by Duodecim Medical Publications, Ilkka Kunnamo
Wiley, 2005

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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17 comments

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  • Good clear video, question about the rule of 15s though. If 15% women are positive on screening test and then if those 15% test positive for GDM that’s just over 2% of women overall. But how does that square with 6%of pregnant women in US having GDM? or is my maths just rubbish ��

  • Thank You so much����Nurse Sarah, i watched Almost all of your Videos and did the Quizzes and it really helped me to Pass my Nclex RN. THANKS FOR ALL YOU DO.���� Wishing you a Safe Birthing experience.

  • Quick update for Aussie students/drs:
    as per latest RANZCOG, the recommended screening regime in Australia is a 75 gram two-hour Pregnancy Oral Glucose Tolerance Test (POGTT). GDM is currently diagnosed by a fasting glucose level of >= 5.5mmol/L OR a 2-hour level >= 8.0mmol/L.

    Thanks Paul for all these awesome videos!

  • I currently have gestational diabetes. Was diagnosed at 17 weeks. My doctors checked that early because I had preeclampsia in my last pregnancy. I’m currently 29 weeks. Anyway, I washed this video to further educate myself on my condition. With what I know and what I learned from this video, I got a B on the test �� I now know a lot about preeclampsia, hypertension and diabetes. Starting to consider switching careers to nursing because I want to help people who are going through any type of complications during pregnancy. Congratulations to anyone in nursing school or who have passed their nursing exams. You are all champions ❤❤❤ This video was sooo helpful!!!

  • Please post conditions in mental health nursing as well, pleeeease,…like schizophrenia, G.T.C.S, Bipolar disorders etc… I’m in the mental unit now, our lecturer has not reported for over a month, n I’m literally blank, your videos explain n help with nursing implications as well

  • Hi Paul. In 2nd trimester visit lecture OGTT cut off mentioned is 140 at 1 hour. And here it’s 130. If you can please clear the confusion.
    By d way, many thanks for your gr8 lectures.

  • we are starting on maternity lectures next month. I’m soooo grateful for your videos. please please upload more on this content but of course take care of yourself first! I’m excited for your pregnancy and want to send you lots of love and blessings❤️❤️❤️❤️

  • I took the nclex yesterday in 75 questions & I passed! Thank you for all of your videos! It truly helped me so much throughout nursing school & nclex! ❤️ I cannot thank you enough!

  • If you wish to eliminate diabetes and want to switch to a more healthy way of living, then you can rely on this “Vαnοjο Fivu” (Google it). The manual have taught me concerning how cells are not able to feed on glucose because of fat. With “Vαnοjο Fivu” (Search Google), I was able to avoid the destructive effects of diabetes to my human body, and ultimately, demise…

  • I want to add some points

    -if the OGCT is 200 and above u dont need to do the fasting OGTT.

    -in case of the first step in management with the diet modification you can also recommend moderate aerobic exercises.

    -for the delivery there is no harm to wait for spontaneous delivery of diabetes is well controlled and the fetus is doing well.

    -for the postpartum follow up.
    At 6-12 weeks postpartum they should be tested for overt diabetes with the 75g OGTT.
    Pregnancy is a diabetogenic state. So pregnancy is a good screening test actually for developing overt diabetes.

  • CONGRATS on your pregnancy. Please share an Amazon registry or PO Box for us to send you gifts, if that isn’t too invasive. You have changed so many lives. You deserve our appreciation financially.

  • If you`d like to get rid of diabetes and want to change to a healthier life-style, then you could rely on this “Vαnοjο Fivu” (Google it). The manual have taught me regarding how cells are not able to feed on glucose due to fat. ”Vαnοjο Fivu” (Search Google) has helped me cure diabetes and prevent its serious and even fatal effects..

  • Hello.. In my book there is a test of T1 as well, since the Gestationnel diabetis only appears in T2.. What’s the point of it? Thx u are awesome

  • That was a great one! Your classes are great and so are your quizzes!! I would love if I could take them as CE hours because the content is very useful and important to our practice as nurses!!

  • Hey, everyone! Thanks for watching. Don’t forget:
    Quiz: https://www.registerednursern.com/gestational-diabetes-nclex-questions/
    Notes: https://www.registerednursern.com/gestational-diabetes-mellitus-maternity-review/
    Maternity Lectures: https://www.youtube.com/playlist?list=PLQrdx7rRsKfXiZ3a-IbRaUJXMa8mXyuO
    NCLEX Reviews: https://www.youtube.com/watch?v=nyBV18sHNSg&list=PLQrdx7rRsKfWwTsEG3KPPQx9rWa8AqMIk
    Nursing Gear: https://teespring.com/stores/registerednursern
    Instagram: https://www.instagram.com/registerednursern_com/
    Facebook: https://www.facebook.com/RegisteredNurseRNs
    Twitter: https://twitter.com/NursesRN

  • Hi Sarah! Thank you covering gestational diabetes. Really helped me with reviewing this for exams.
    It would be extremely helpful to see your video on preeclampsia and eclampsia. That is one topic I am having a hard time with.

    Thanks once again!!

  • Sarah, even before watching the video i wanna tell u that i love your videos so much
    Really you are genius
    I wondered how you make things simple
    You help me to understand things that i was unable to understand
    And you are a big cause to make me love nursing, God bless u��
    Greetings from Egypt ��