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GESTATIONAL DIABETES: RISKS AND

MANAGEMENTAlyssa Smart-Patterson

Wiley College 2015Research Biology

Instructor: Dr. Kiflu Berhane

INTRODUCTION

GESTATIONAL DIABETES (GDM) Develops during pregnancy No symptoms Abnormal blood sugar Age 25 or older Minority high risk

INSULIN/ INSULIN RESISTANCE Made in pancreas Use glucose for energy Ineffective use of insulin-insulin

resistance Increases insulin need GDM-cant produce enough insulin

COMPARE

DIAGNOSIS Late pregnancy (24-28wks) Risk assessment Blood work (cbc with differential) Screening glucose challenge test Oral glucose tolerance test

TAKING PREVENTATIVE MEASURES Eat healthy diet Exercise ( as advised) Doctor visits (wellness check-ups) Rest Reduce stressors

RISK ASSOCIATED WITH GDM

Child: high blood sugar Macrosomia Hypoglycemia Respiratory distress syndrome Death Jaundice Child: develop type 2 diabetes

FOR BABY Ultrasounds Non-stress tests Kick counts

FOR MOTHER High blood pressure Preeclampsia C-section delivery Depression Type 2 diabetes Check ups!!!

TAKE ACTION!! Meet target range Healthy eating Exercise Medication (insulin)

SAMPLE MEAL PLAN

POSTPARTUM Test glucose 6-12wks after Most return to normal Type 2 diabetes high probability Test every 3 years

HEALTHY START: BREASTFEEDING Best nutrition Lactation consultant

Q&A