diabetestalk.net

Gestational Diabetes Assessment Form

  1. Diabetes
  2. Gestational Diabetes Assessment Form
Gestational Diabetes

Gestational Diabetes

only happens during pregnancy. It means you have high blood sugar levels, but those levels were normal before you were pregnant. If you have it, you can still have a healthy baby with help from your doctor and by doing simple things to manage your blood sugar, also called blood glucose. After your baby is born, gestational diabetes usually goes away. Gestational diabetes makes you more likely to develop type 2 diabetes, but it won’t definitely happen. During pregnancy, the placenta makes hormones that can lead to a buildup of glucose in your blood. Usually, your pancreas can make enough insulin to handle that. If not, your blood sugar levels will rise and can cause gestational diabetes. It affects between 2% and 10% of pregnancies each year. You are more likely to get gestational diabetes if you: Were overweight before you got pregnant Are African-American, Asian, Hispanic, or Native American Have high blood sugar levels, but not high enough to be diabetes Have a family history of diabetes Have had gestational diabetes before Have high blood pressure or other medical complications Have given birth to a large baby before (greater than 9 pounds) Have given birth to a baby that was stillborn or had certain birth defects Gestational diabetes usually happens in the second half of pregnancy. Your doctor will check to see if you have gestational diabetes between weeks 24 and 28 of your pregnancy. Your doctor may test sooner if you're at high risk. To test for gestational diabetes, you will quickly drink a sugary drink. This will raise your blood sugar levels. An hour later, you’ll take a blood test to see how your body handled all that sugar. If the results show that your blood sugar is higher than a certain cutoff (anywhere from 130 milligrams per deciliter [mg/dL] or hig Continue reading >>

Gestational Diabetes

Gestational Diabetes

Gestational diabetes (GDM) is a common medical complication of pregnancy and is defined as diabetes with onset or first recognition during pregnancy. Paul Terranova, in xPharm: The Comprehensive Pharmacology Reference , 2007 While the incidence of gestational diabetes is approximate 0.5%, it affects 4% of pregnant women. It is estimated that 135,000 cases of gestational diabetes are diagnosed in the United States each year. Although gestational diabetes usually dissipates after pregnancy, it typically recurs during subsequent pregnancies. In some cases, pregnancy reveals the patient has type 1 or type 2 diabetes. It is uncertain whether these women have gestational diabetes or whether the diabetes coincidentally began during pregnancy. In either case, they are likely to require treatment after pregnancy. Some women with gestational diabetes develop type 2 diabetes, suggesting a possible link between the two conditions. Peter Hornnes, Jeannet Lauenborg, in Obesity , 2013 Gestational diabetes is an asymptomatic condition associated with adverse outcome for mother and child. Overweight and obesity confer a higher risk of gestational diabetes up to 11-fold. Health care providers of pregnant women should ensure that a strategy for screening gestational diabetes is in place. Either general screening programmes or selective screening programmes may be employed. Women with gestational diabetes should be monitored and treated vigorously. After delivery, glucose metabolism is most often normalised, but women with previous gestational diabetes have an increased risk of developing type-2 diabetes in later years. Therefore, they should be counselled about healthy lifestyles and offered exanimations for diabetes or pre-diabetes with 13 year intervals. Christopher Federico, Gabriella Continue reading >>

Forms

Forms

This section contains all the forms necessary for managing registration with the NDSS. Registration with the NDSS is free and only needs to be done once. To find out more about the registration process, including eligibility requirements, please visit the Registration page Address Update or Request New Card Online Form If you would like your patients to be able to purchase IPCs from the NDSS, you will need to complete an Insulin Pump Consumables Assessment Form to show they meet all relevant criteria. This needs to be signed by an endocrinologist, specialist physician or credentialed diabetes educator. NDSS Insulin Pump Consumables Assessment Form Type 1 Diabetes Continuous Glucose Monitoring Eligibility Assessment The Australian Government is now providing access to fully subsidised continuous glucose monitoring (CGM) products through the NDSS. To be eligible, the person with diabetes will need to be assessed by an authorised health professional to determine if they meet specific criteria. The authorised health professionals for CGM assessment are endocrinologists, credentialled diabetes educators, and other health professionals specialising in diabetes (physicians, paediatricians or nurse practitioners). Continue reading >>

Gestational Diabetes: Q And A

Gestational Diabetes: Q And A

Q. What is gestational diabetes? A. Gestational diabetes is a form of diabetes that develops during pregnancy. It is different from having known diabetes before pregnancy and then getting pregnant. Gestational diabetes is generally diagnosed in the second and third trimesters of pregnancy, and usually goes away after the baby is born. Gestational diabetes can cause problems for the mother and baby, but treatment and regular check-ups mean most women have healthy pregnancies and healthy babies. Q. Am I at risk of gestational diabetes? A. Gestational diabetes affects between 10 and 15 per cent of pregnancies in Australia. Women of certain ethnic backgrounds — Australian Aboriginal or Torres Strait Islander, Indian, Asian, Middle Eastern, African, Maori and Pacific Islander — are more at risk of developing gestational diabetes than women of Anglo-Celtic backgrounds. Other factors can also increase your risk, including: being overweight; having a family history of diabetes; having had gestational diabetes in a previous pregnancy; being 40 years or older; having polycystic ovary syndrome (PCOS); taking medicines that can affect blood sugar levels (such as corticosteroids and antipsychotic medicines); and previously having a very large baby (more than 4.5 kg). Q. How would I know if I had gestational diabetes? A. Gestational diabetes does not usually give rise to symptoms. For this reason it is important to be tested during pregnancy, usually between 24 and 28 weeks. Women with risk factors for diabetes may be offered testing earlier than this – sometimes at the first antenatal visit, which is often at around 10 weeks. Women who do develop symptoms may experience: extreme tiredness; being thirsty all the time; symptoms of recurrent infections (such as thrush); and needi Continue reading >>

13.3 Gestational Diabetes Mellitus

13.3 Gestational Diabetes Mellitus

Clinical context Gestational diabetes, or GDM, is defined as glucose intolerance that begins or is first diagnosed during pregnancy. It may appear earlier, particularly in women with a high level of risk for GDM. GDM generally develops and is diagnosed in the late second or early third trimester of the pregnancy. GDM affects about 9.6–13.6% of pregnancies in Australia.245,246 The reported prevalence of GDM varies for a number of reasons. One reason is the use of different screening and diagnostic criteria. The prevalence is also affected by maternal factors such as history of previous gestational diabetes, ethnicity, advanced maternal age, family history of diabetes, pre-pregnancy weight and high gestational weight gain. Mothers of different ethnicity born in areas with high diabetes prevalence such as Polynesia, Asia and the Middle East, are three times as likely to have GDM as mothers born in Australia. Among Aboriginal and Torres Strait Islander mothers, GDM is twice as common, and pre-gestational diabetes affecting pregnancy is three to four times as common as in non-Indigenous mothers.245 In pregnancy, there is a natural increase in levels of hormones including cortisol, growth hormone, human placental lactogen, and progesterone and prolactin levels, causing two to three fold increases in insulin resistance. The action of these hormones is usually compensated by increased insulin release. In pregnant women with abnormal glucose tolerance or impaired β-cell reserve, the pancreas is unable to sufficiently increase insulin secretion in order to control BGLs. Potential maternal complications during pregnancy and delivery include pre-eclampsia and higher rates of caesarean delivery, maternal birth injury, postpartum haemorrhage. For the neonate, complications can inc Continue reading >>

Diagnosis

Diagnosis

Print Medical experts haven't agreed on a single set of screening guidelines for gestational diabetes. Some question whether gestational diabetes screening is needed if you're younger than 25 and have no risk factors. Others say that screening all pregnant women is the best way to identify all cases of gestational diabetes. When to screen Your doctor will likely evaluate your risk factors for gestational diabetes early in your pregnancy. If you're at high risk of gestational diabetes — for example, your body mass index (BMI) before pregnancy was 30 or higher or you have a mother, father, sibling or child with diabetes — your doctor may test for diabetes at your first prenatal visit. If you're at average risk of gestational diabetes, you'll likely have a screening test during your second trimester — between 24 and 28 weeks of pregnancy. Routine screening for gestational diabetes Initial glucose challenge test. You'll drink a syrupy glucose solution. One hour later, you'll have a blood test to measure your blood sugar level. A blood sugar level below 130 to 140 milligrams per deciliter (mg/dL), or 7.2 to 7.8 millimoles per liter (mmol/L), is usually considered normal on a glucose challenge test, although this may vary by clinic or lab. If your blood sugar level is higher than normal, it only means you have a higher risk of gestational diabetes. You'll need a glucose tolerance test to determine if you have the condition. Follow-up glucose tolerance testing. You'll fast overnight, then have your blood sugar level measured. Then you'll drink another sweet solution — this one containing a higher concentration of glucose — and your blood sugar level will be checked every hour for three hours. If at least two of the blood sugar readings are higher than normal, you'll Continue reading >>

Gestational Diabetes Risk Assessment

Gestational Diabetes Risk Assessment

Gestational Diabetes Mellitus (GDM) is a condition during pregnancy resulting in high blood sugar levels. Learn more about GDM and the symptoms you should look out for here . This tool will help to give you a risk assessment of Gestational Diabetes Mellitus (GDM), which is a form of Diabetes affecting pregnant mothers and has significant impacts on the future health of your baby. Getting screened several times by your doctor for GDM / Diabetes is recommended as early as possible for most pre-conceiving and pregnant mothers. Have you been assessed by a doctor for Gestational Diabetes or Diabetes previously? Yes, I currently have Gestational Diabetes Please continue to manage your GDM or Diabetes in consultation with your doctor and any prescribed medication. No, I currently do not have Gestational Diabetes Well done! Even though you do not have Gestational Diabetes or Diabetes, ensure you have scheduled follow up screenings with your doctor, as this may change during late pregnancy. Answer the following questions to assess your risk for Gestational Diabetes Mellitus (GDM) * Have either of your parents been diagnosed with type 2 Diabetes? Even though you do not have Gestational Diabetes or Diabetes, ensure you have scheduled follow up screening with your doctor, as this may change during late pregnancy. * If you had a previous pregnancy, have you been diagnosed with Gestational Diabetes during a previous pregnancy? * In your previous pregnancies have you delivered a baby that was large for gestational age (usually > [3.5 kg])? * Do you have high blood pressure, high cholesterol and/or heart disease? Continue reading >>

Decreasing Risk For Gestational Diabetes Toolkit

Decreasing Risk For Gestational Diabetes Toolkit

"Are you at risk for developing Gestational diabetes?" poster ( English and Spanish ) Risk Assessment Chart assists the WIC nutritionist in becoming familiar with GDM risk factors. GDM Assessment Card ( English and Spanish ) explains the risk factors for developing GDM and an action plan for decreasing some of these risks. This card is used at the client's initial visit and given to the client as a handout. Choose MyPlate demonstrates a balanced meal with smaller portion sizes and emphasizing high fiber Walk to Success ( English and Spanish ) handout provides general guidelines for exercise during pregnancy. Hemoglobin A1c in Pregnancy ( English and Spanish ) handout defines what a Hemoglobin A1 is and how an elevated HbA1c may relate to complications during pregnancy. Referral Letter to Provider is given to the client with an HbA1c 5.7% "It's never too early to prevent diabetes" Postpartum Handout ( English and Spanish ) - For all pregnant clients regardless of risk level for developing GDM - Handout: How Can I Decrease my risk for Gestational Diabetes ( English and Spanish ) - Handout: Walk to Success ( English and Spanish ) - Handout: The Plate Method ( English and Spanish ) Continue reading >>

Gestational Diabetes

Gestational Diabetes

Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Type 2 Diabetes article more useful, or one of our other health articles. This article deals only with gestational diabetes. There is a separate Diabetes in Pregnancy article, which provides information about pregnancy in women with pre-existing diabetes. Gestational diabetes mellitus (GDM) is any degree of glucose intolerance with its onset (or first diagnosis) during pregnancy and usually resolving shortly after delivery[1]. Pregnancy hormones decrease fasting glucose levels, increase fat deposition, delay gastric emptying and increase appetite. However, over the course of pregnancy, postprandial glucose concentrations increase as insulin resistance increases. This is normally countered by an increased production of insulin but in women with GDM there is an insufficient compensatory rise[2]. There is no clear agreement on diagnostic criteria[3]. Pregnancy hyperglycaemia without meeting GDM diagnostic criteria affects a significant proportion of pregnant women each year and is associated with a range of adverse pregnancy outcomes[4]. The National Institute for Health and Care Excellence (NICE) recommends that GDM should be diagnosed if the pregnant woman has either[5]: Fasting plasma glucose level of 5.6 mmol/L or above; or Two-hour plasma glucose level of 7.8 mmol/L or above. Although the World Health Organization (WHO) now recommends that HbA1c can be used as a diagnostic test for diabetes, it is currently not recommended for diagnosis during pregnancy[6]. Many of the problems associated with GDM are common to established diabetes in pregnancy - hype Continue reading >>

Gestational Diabetes Mellitus: Pilot Study On Patient's Related Aspects Hussain Z, Yusoff Zm, Sulaiman Sa - Arch Pharma Pract

Gestational Diabetes Mellitus: Pilot Study On Patient's Related Aspects Hussain Z, Yusoff Zm, Sulaiman Sa - Arch Pharma Pract

Objective: Gestational diabetes mellitus (GDM) is a common complication during pregnancy and if not managed properly, it can lead to many harmful effects on mother or fetus/baby. Management of GDM largely depends on patient's thoughts, perception and understanding of disease. This study was conducted to evaluate the knowledge, attitude, and treatment satisfaction of GDM patients toward their disease. Methods: This was a descriptive cross-sectional study conducted during the period of month July 2013 at Penang General Hospital, Penang, Malaysia. The sample consists of 30 established patients of GDM who were diagnosed at least 1 month prior to enrolment. Data were collected by means of self-designed Gestational Diabetes Mellitus Knowledge Questionnaire, modified version of Diabetes Integration Scale (ATT-19) and Diabetes Treatment Satisfaction Questionnaire. Descriptive analysis was used for data elaboration by using SPSS 20. Results: The results showed that of 30 patients, 23 patients (76.6%) had adequate knowledge. Only, 7 (23.3%) patients had inadequate knowledge. For attitude, 23 (76.66%) of patients had a negative attitude toward disease and only 7 (23.3%) had a positive attitude. In terms of satisfaction, 25 (83.33%) patients were satisfied with the given treatment and 5 (16.66%) were unsatisfied. Conclusion: We conclude that although participants obtained good score on knowledge and treatment satisfaction, their attitude did not change so as to more effectively cope with their disease. Keywords:Attitude, gestational diabetes mellitus, knowledge, treatment satisfaction Hussain Z, Yusoff ZM, Sulaiman SA. Gestational diabetes mellitus: Pilot study on patient's related aspects. Arch Pharma Pract 2014;5:84-90 Hussain Z, Yusoff ZM, Sulaiman SA. Gestational diabetes mell Continue reading >>

Gestational Diabetes | Definition Of Gestational Diabetes By Medical Dictionary

Gestational Diabetes | Definition Of Gestational Diabetes By Medical Dictionary

Gestational diabetes | definition of gestational diabetes by Medical dictionary Gestational diabetes is a condition that occurs during pregnancy . Like other forms of diabetes, gestational diabetes involves a defect in the way the body processes and uses sugars (glucose) in the diet. Gestational diabetes, however, has a number of characteristics that are different from other forms of diabetes. Glucose is a form of sugar that is present in many foods, including sweets, potatoes, pasta, and breads. The body uses glucose to provide energy. It is stored in the liver, muscles, and fatty tissue. The pancreas produces a hormone (a chemical produced in one part of the body, which travels to another part of the body in order to exert its effect) called insulin. Insulin is required to allow glucose to enter the liver, muscles, and fatty tissues, thus reducing the amount of glucose in the blood. In diabetes, blood levels of glucose remain abnormally high. In many forms of diabetes, this is because the pancreas does not produce enough insulin. In gestational diabetes, the pancreas is not at fault. Instead, the problem is in the placenta. During pregnancy, the placenta provides the baby with nourishment. It also produces a number of hormones that interfere with the body's usual response to insulin. This condition is referred to as "insulin resistance." Most pregnant women do not suffer from gestational diabetes, because the pancreas works to produce extra quantities of insulin in order to compensate for insulin resistance . However, when a woman's pancreas cannot produce enough extra insulin, blood levels of glucose stay abnormally high, and the woman is considered to have gestational diabetes. About 1-3% of all pregnant women develop gestational diabetes. Women at risk for gestati Continue reading >>

Preventing Chronic Disease | Ohio Primary Health Care Providers Practices And Attitudes Regarding Screening Women With Prior Gestational Diabetes For Type 2 Diabetes Mellitus 2010 - Cdc

Preventing Chronic Disease | Ohio Primary Health Care Providers Practices And Attitudes Regarding Screening Women With Prior Gestational Diabetes For Type 2 Diabetes Mellitus 2010 - Cdc

Ohio Primary Health Care Providers Practices and Attitudes Regarding Screening Women With Prior Gestational Diabetes for Type 2 Diabetes Mellitus 2010 Loren Rodgers, PhD; Elizabeth J. Conrey, PhD, RD; Andrew Wapner, DO, MPH; Jean Y. Ko, PhD; Patricia M. Dietz, DrPH; Reena Oza-Frank, PhD, RD Suggested citation for this article: Rodgers L, Conrey EJ, Wapner A, Ko JY, Dietz PM, Oza-Frank R. Ohio Primary Health Care Providers Practices and Attitudes Regarding Screening Women With Prior Gestational Diabetes for Type 2 Diabetes Mellitus 2010. Prev Chronic Dis 2014;11:140308. DOI: . Gestational diabetes mellitus (GDM) is associated with a 7-fold increased lifetime risk for developing type 2 diabetes mellitus. Early diagnosis of type 2 diabetes is crucial for preventing complications. Despite recommendations for type 2 diabetes screening every 1 to 3 years for women with previous diagnoses of GDM and all women aged 45 years or older, screening prevalence is unknown. We sought to assess Ohio primary health care providers practices and attitudes regarding assessing GDM history and risk for progression to type 2 diabetes. During 2010, we mailed surveys to 1,400 randomly selected Ohio family physicians and internal medicine physicians; we conducted analyses during 20112013. Overall responses were weighted to adjust for stratified sampling. Chi-square tests compared categorical variables. Overall response rate was 34% (380 eligible responses). Among all respondents, 57% reported that all new female patients in their practices are routinely asked about GDM history; 62% reported screening women aged 45 years or younger with prior GDM every 1 to 3 years for glucose intolerance; and 42% reported that screening for type 2 diabetes among women with prior GDM is a high or very high priori Continue reading >>

Gestational Diabetes: Risk Assessment, Testing, Diagnosis And Management

Gestational Diabetes: Risk Assessment, Testing, Diagnosis And Management

Gestational diabetes: risk assessment, testing, diagnosis and management Your responsibility when using NICE advice This interactive flowchart covers the management of diabetes and its complications from preconception to the postnatal period. Approximately 700,000 women give birth in England and Wales each year, and up to 5% of these women have either pre-existing diabetes or gestational diabetes. Of women who have diabetes during pregnancy, it is estimated that approximately 87.5% have gestational diabetes (which may or may not resolve after pregnancy), 7.5% have type 1 diabetes and the remaining 5% have type 2 diabetes. The prevalence of type 1 diabetes, and especially type 2 diabetes, has increased in recent years. The incidence of gestational diabetes is also increasing as a result of higher rates of obesity in the general population and more pregnancies in older women. Diabetes in pregnancy is associated with risks to the woman and to the developing fetus. Miscarriage, pre-eclampsia and preterm labour are more common in women with pre-existing diabetes. In addition, diabetic retinopathy can worsen rapidly during pregnancy. Stillbirth, congenital malformations, macrosomia, birth injury, perinatal mortality and postnatal adaptation problems (such as hypoglycaemia) are more common in babies born to women with pre-existing diabetes. This interactive flowchart contains recommendations for managing diabetes and its complications in women who are planning pregnancy and those who are already pregnant. It focuses on areas where additional or different care should be offered to women with diabetes and their newborn babies. Where the evidence supports it, there are separate recommendations for women with pre-existing diabetes and women with gestational diabetes. The term 'wo Continue reading >>

Inova Center For Wellness And Metabolic Health

Inova Center For Wellness And Metabolic Health

Inova Center for Wellness and Metabolic Health Comprehensive Diabetes Education Classes, Programs, and Support Groups TheInova Center for Wellness and Metabolic Healthoffers comprehensive diabetes education classes, programs and support groups at Inova facilities throughout Northern Virginia. With easy access to the Washington, DC metro area, we have counseled thousands of adults and children withdiabetes whohave learned to lead better, healthier lives. Our certified diabetes educators, nurses and dietitians work with your physician. As a team we empower you to manage your diabetes and improve your health and quality of life. Physicians:learn about Inova's services and team management approach. Whether you are newly diagnosed or have lived with diabetes for many years, we have education, classes and services appropriate for you. Call us at 1-877-511-GOAL (4625) for more information. We are proud that Inova's diabetes programs have been recognized by the American Diabetes Association for Quality Self-Management Education. MyChart is a free online service offered to Inova patients, providing personalized and secure online access to portions of their medical records. Anyone with an Inova provider can sign up for MyChart (some restrictions apply to patients under the age of 18). Patients who wish to participate may sign up during their visit or receive an activation code on their visit summaries. This code will enable you to login and create your own user ID and password. You may access your If you were not issued an activation code, you may call your primary care clinic to get one or ask to sign up during you next office visit. If you have misplaced your code from your hospital stay, you may call our MyChart Patient Support Line toll free at 1-855-694-6682 . Continue reading >>

Diabetes Mellitus And Pregnancy

Diabetes Mellitus And Pregnancy

Initiate testing early enough to avoid significant stillbirth but not so early that a high rate of false-positive test results is encountered. In patients with poor glycemic control, intrauterine growth restriction, or significant hypertension, begin formal biophysical testing as early as 28 weeks. In patients who are at lower risk, most centers begin formal fetal testing by 34 weeks. Fetal movement counting is performed in all pregnancies from 28 weeks onward. There is no consensus regarding antenatal testing in patients with gestational diabetes that is well controlled with diet. Monitoring fetal growth continues to be a challenging and imprecise process. Although currently available tools (serial plotting of fetal growth parameters based on ultrasonographic measurement) are superior to those used previously for clinical estimations, accuracy is still only within 15%. [ 95 ] In the obese fetus, the inaccuracies are further magnified. In 1992, Bernstein and Catalano reported that significant correlation exists between the degree of error in the ultrasonogram-based estimation of fetal weight and the percentage of body fat on the fetus. [ 96 ] Perhaps this is the reason no single formula has proven to be adequate in identifying a macrosomic fetus with certainty. Despite problems with accuracy, ultrasonogram-based estimations of fetal size have become the standard of care. Estimate fetal size once or twice at least 3 weeks apart in order to establish a trend. Time the last examination to be at 36-37 weeks' gestation or as close to the planned delivery date as possible. Select the timing of delivery to minimize morbidity for the mother and fetus. Delaying delivery to as near as possible to the expected date of confinement helps maximize cervical maturity and improves the Continue reading >>

More in diabetes