NSG 3323 Lecture Notes - Lecture 17: Gestational Diabetes, Diabetes Mellitus Type 1, Diabetes Mellitus Type 2
Document Summary
Type 2 diabetes = insulin resistance with varying degrees of insulin secretory defects, obese, and 40. Gestational diabetes (gdm) = diabetes during pregnancy > many progress to type 2 over time. 4 cardinal s/s of diabetes = polyuria, polydipsia, weight loss, and polyphagia. Pathophysiology = increased metabolic rate and onset of placental hormones (hpl) could affect the pregnancy of a diabetic mom or could precipitate the onset of gestational diabetes. Insulin needs are relatively stable in 1st trimester increased in 2nd and 3rd trimester decrease birth to those levels prior to pregnancy. All women are screen for gestational diabetes during pregnancy > 24 to 28 weeks gestation. 50 g glucose tolerance (gtt) = 1 hour later plasma glucose > if over 140 mg/dl then . 100g 3 hr gtt is ordered = gdm is diagnosed if 2 or more of the following are met or exceeded. Teach procedures to test serum glucose = 70-120 mg/dl.
