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Gestational Diabetes Research Paper

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Gestational Diabetes Mellitus, Diagnosis

Gestational diabetes (gestational diabetes mellitus) is a temporary form of diabetes that some women develop during pregnancy. This usually occurs around weeks 24–28 of pregnancy. In gestational diabetes, one or both of these problems may be present:
• The pancreas does not make enough of a hormone called insulin.
• The cells in the body are less responsive to the insulin that is made (insulin resistance).
Normally, insulin moves sugars (glucose) from food into tissue cells. The tissue cells use glucose for energy. Insulin resistance or lack of insulin causes excess glucose to build up in the blood instead of going into the tissue cells. As a result, high blood glucose (hyperglycemia) develops. …show more content…
If gestational diabetes is controlled with treatment, it is unlikely to cause problems. If this condition is not well controlled, it may cause problems during labor and delivery, some of which can be harmful to an unborn baby (fetus) and the mother. It may also cause the newborn baby to have breathing problems and low blood glucose.
Gestational diabetes usually goes away after giving birth. Women who get gestational diabetes are more likely to develop gestational diabetes if they get pregnant again, and they are also more likely to develop type 2 diabetes in the future.

WHAT ARE THE CAUSES?
This condition is caused by one or both of the following:
• Cells in the pancreas not making enough insulin.
• Insulin resistance.
Some of the hormonal changes that occur during pregnancy can interfere with insulin production and function.

WHAT INCREASES THE RISK?
This condition may be more likely to develop in pregnant women who:
• Are older than 25 during their pregnancy.
• Have a family history of diabetes.
• Are overweight.
• Have had gestational diabetes in the past.
• Have polycystic ovarian syndrome (PCOS).
• Are pregnant with twins or …show more content…
o What number should I call if I have questions? o When is my next appointment?
• Keep all follow-up visits as told by your health care provider. This is important.
• For more information about gestational diabetes, visit: o The American Diabetes Association (ADA): www.diabetes.org/diabetes-basics/gestational o The Centers for Disease Control and Prevention (CDC): www.cdc.gov/diabetes/pubs/pdf/gestationalDiabetes.pdf

CONTACT A HEALTH CARE PROVIDER IF:
• Your blood glucose level is at or above 240 mg/dL (13.3 mmol/L).
• Your blood glucose level is at or above 200 mg/dL (11.1 mmol/L) and you have ketones in your urine.
• You have confusion or trouble thinking clearly.
• You have been sick or have had a fever for 2 days or more and you are not getting better.
• You have any of the following problems for more than 6 hours:
• You cannot eat or drink.
• You have nausea and vomiting.
• You have diarrhea.

GET HELP RIGHT AWAY IF:
• Your blood glucose level is below 54 mg/dL (3 mmol/L).
• You have difficulty breathing.
• You have moderate or large ketone levels in your urine.
• Your baby is moving around less than usual.
• You develop unusual discharge or bleeding from your

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