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Gestational Diabetes Mellitus

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Submitted By mohue58
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What is diabetes?

Diabetes mellitus (DM) is a condition where the amount of glucose in the blood is too high
Glucose comes from the digestion of carbohydrate containing food and drinks and is also produced by the liver
Carbohydrate comes from many different sources including starchy foods such as bread, potatoes and chapattis, fruit, dairy products, sugar and other sweet foods
The food we eat turns into glucose (sugar) for energy
The pancreas makes insulin (a hormone) to help glucose get into the cells of our body
When someone has diabetes their body either doesn’t make any/enough or can’t use its own insulin as it should
Glucose begins to build up in the blood
Prevalence:
WHO estimate in: 2000 = 177 million diabetic people
2025 = 300 million diabetic people = 9% global population
IDF (international diabetes federation): 2 million diabetic people in UK with over 750,000 undiagnosed
NICE: 650,000 women give birth in England & Wale each year and 2-5% (13,000-32,500) involves women with diabetes, of these: * 87.5% are Gestational Diabetes (GD) * 7.5% are Type 1 * 5% are Type 2
From 1997-2003 there was 74% rise in new cases in the UK with the West Midlands being one of the highest areas (News, 2009)
Treatment:
Aim: to maintain glycaemic control – regular monitoring is required
Lifestyle: diet, exercise
Medication – tablet or injection e.g. Insulin, rapid acting insulin analogues (Aspart, Lispro) and/or hypoglycaemic agents (Metformin and Glibenclamide)
Diabetes health complications:

Hypoglycaemia:
Too much insulin; which can cause low blood sugar
Symptoms: Paleness, shaking, hunger, sweating
Specialist will advise what to do e.g. consume sugary soft drink
Occasionally can cause loss of consciousness – an injection will be needed
Diabetic Ketoacidosis (DKA)/Hyperglycaemia:
A life-threatening complication.
Near complete deficiency

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