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
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