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GDM OB300 Presentation With Notes

Gestational Diabetes Mellitus (GDM) is a form of glucose intolerance that occurs during pregnancy, typically diagnosed between 24-28 weeks. Risk factors include maternal age, BMI, family history, and certain ethnicities, while symptoms can be asymptomatic or include increased thirst and frequent urination. Diagnosis involves glucose testing, and management includes dietary education, exercise, and monitoring blood glucose levels.

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15 views10 pages

GDM OB300 Presentation With Notes

Gestational Diabetes Mellitus (GDM) is a form of glucose intolerance that occurs during pregnancy, typically diagnosed between 24-28 weeks. Risk factors include maternal age, BMI, family history, and certain ethnicities, while symptoms can be asymptomatic or include increased thirst and frequent urination. Diagnosis involves glucose testing, and management includes dietary education, exercise, and monitoring blood glucose levels.

Uploaded by

rrheag82
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd

Gestational Diabetes Mellitus

(GDM)
• Group Members: Abby, Gabby, Jolene,
Bernadine, and Rhea
• Course: OB 300
What Is GDM?
• GDM is glucose intolerance first recognized
during pregnancy.
• Typically diagnosed between 24–28 weeks
gestation.
• Types:
• - A1GDM: Controlled with diet and exercise.
• - A2GDM: Requires medication or insulin.
Risk Factors
• • Maternal age over 25
• • BMI ≥ 25
• • Family history of diabetes
• • Previous GDM or large baby
• • PCOS
• • Certain ethnicities (Hispanic, African
American, Native American, Asian)
Signs & Symptoms
• • Often asymptomatic
• • Increased thirst (polydipsia)
• • Frequent urination (polyuria)
• • Fatigue
• • Blurred vision
• • Recurrent infections
Diagnosis
• • Screening: 50g oral glucose challenge test
(non-fasting)
• • Diagnostic Test: 100g 3-hour OGTT
• • Criteria: Elevated fasting or post-load
glucose levels confirm GDM
Case Study – Maria
• Maria, 32-year-old Hispanic woman, G2P1
• History: Previous 9 lb 4 oz baby, BMI 30
• Failed 1-hour glucose test at 26 weeks
• Confirmed GDM via 3-hour OGTT
• Started on diet, SMBG, exercise, and insulin
• Delivered healthy 7 lb 8 oz baby at 39 weeks
Nursing Diagnoses
• 1. Imbalanced Nutrition: More than Body
Requirements
• - Related to excessive caloric intake and insulin
resistance
• - Evidenced by elevated glucose and excessive
weight gain

• 2. Risk for Unstable Blood Glucose Level


• - Related to hormonal changes in pregnancy
Nursing Interventions
• • Educate on diet and carb counting
• • Encourage 30-min daily walks
• • Teach SMBG techniques
• • Monitor fetal growth
• • Collaborate on insulin therapy
Patient Education & Outcomes
• • Follow dietary guidelines
• • Importance of regular exercise
• • Learn signs of hypo-/hyperglycemia
• • Postpartum glucose follow-up
• • Breastfeeding benefits
References
• 1. American Diabetes Association. (2023).
Standards of medical care in diabetes—2023.
https://doi.org/10.2337/dc23-Sint
• 2. NICE. (2021). Diabetes in pregnancy.
https://www.nice.org.uk/guidance/ng3
• 3. CDC. (2022). Gestational diabetes.
https://www.cdc.gov/diabetes/basics/gestatio
nal.html

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