Gestational diabetes mellitus is a medical condition characterized with the onset glucose intolerance during pregnancy .It is recorded as the foremost common metabolic disorder and complication during pregnancy, with reported estimates of 1-14% of cases in each population. It…
Added advantages include the ability to educate and treat the women while equipping them with skills to cope with the condition.
Since type 2 diabetes is preventable with the correct lifestyle changes, pregnant women represent an ideal focus group in the pursuit of ways of delaying or preventing the progression of type 2 diabetes. Preventive measures are hindered by poor primary care efforts of detecting diabetes, poor practice recommendations, lack of awareness on the need to institute lifestyle changes, and a lack of adherence to the set guidelines by health care providers.
Reviewing the pathogenesis of gestational diabetes mellitus, clinical practice recommendations by institutions like the American College of Obstetricians and Gynecologists, links to diabetes after pregnancy and adherence to guidelines is crucial.
The American College of Obstetricians and Gynecologists (ACOG) is on the forefront of setting guidelines that are followed when dealing with the management of gestational diabetes mellitus. Despite the advantages of the 1-step approach, there have been claims of it increasing the frequency of gestational diabetes by two to three times. This is supported by the fact that, roughly 280 million women develop gestational diabetes mellitus every year in the US, which represents 7% of the total population of women giving birth. This is partly due to the increase in obesity levels in the general population and the increased number of women in advanced years giving birth. Other risk factors include being genetically predisposed to diabetes due to ethnicity and family medical problems. The need for a 2-step approach is therefore warranted.
The approach is based on screening the administration of a 50g oral solution accompanied by a venous glucose for 1 hour. Women that range around or above the put threshold, are subjected to an oral diagnostic glucose tolerance test for 3 hours. The test is normally conducted in all pregnant women between ...
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DIABETES MELLITUS. Approximately thirty one million people in the whole world die from the four major chronic, non-communicable diseases. The diseases are such as diabetes, cancer, respiratory disease and heart disease. Chronic disease term refers to the above four named non-communicable diseases according to Oxford Health Alliance (www.
One of the deadly complications of diabetes is coronary artery disease which is attributed to imbalance in lifestyle. Diabetes has affected approximately 200 million individuals worldwide and expected to double by 2030 (Bottino & Trucco, 2005).
The name of disease is derived from New Latin words "diabetes" (a siphon) and "mellitus" (honey-sweet). The last definition is related to the characteristic manifestation of the disease - patient's urine can have sweat test because of the presence of sugar (glucose).
Also known as type I diabetes, juvenile diabetes and diabetes mellitus. (Condition: Insulin dependent Diabetes mellitus, 2008)
IDDM is caused by a reaction caused in the body such that the immune system looses the capability of insulin-secreting cells in the pancreas.
Type 2 diabetes has a long asymptomatic phase and significant clinical risk markers (Caterson 2005).
The decreased ability of insulin to act effectively on peripheral target tissues especially muscle and liver is a prominent feature of type 2 DM, and this is presumed to result from a combination of genetic susceptibility and obesity.
Incretin mimetics like exenatide and liraglutide mimic the action of incretin hormones (glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP)), which are found in the gastrointestinal tract and function in insulin secretion. Dipeptidyl peptidase (DPP-IV) inhibitors like sitagliptin and vildagliptin suppress the degradation of the incretins, thus extending their action.
s mellitus is a group of chronic metabolic disorders culminating in the elevation of blood glucose levels due to defective insulin secretion, action or both. Diabetes causes both, microvascular diseases (blindness, kidney failure and nerve damage) caused by damage to small blood
Type II diabetes mallitus is a familial disease in some cases where it runs in families. In such cases, it is most commonly a result of weight gain. Obesity is a major risk factor for type II diabetes mallitus in those
The disease normally affects insulin, whereby not enough insulin is produced to handle blood sugar level (Braham, 2011). This disease commonly affects adults but recently there has been increase in the number of children being infected with it (Goldstein, 2013).
In this intervention, the patients have to avoid consuming dietary that contains saturated fats. In addition, the diet must also contain lower levels of carbohydrates, which enable the reduction of blood glucose levels. Glycaemic Control: In this intervention, the patient uses insulin to enhance the body’s ability to regulate sugar levels.
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