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Gestational diabetes

Also known as GDM, Gestational Diabetes Mellitus, and Pregnancy Induced Diabetes

Gestational diabetes (or gestational diabetes mellitus, GDM) is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy (especially during their third trimester). There is some question whether the condition is natural during pregnancy. Gestational diabetes is caused when the insulin receptors do not function properly. This is likely due to pregnancy related factors such as the presence of human placental lactogen that interferes with susceptible insulin receptors. This in turn causes inappropriately elevated blood sugar levels.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with gestational diabetes, 24% report having problems during pregnancy, 18% report having pain during pregnancy, and 15% report having uterine contractions. The symptoms that are highly suggestive of gestational diabetes are hip stiffness or tightness and mass on vulva, although you may still have gestational diabetes without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with gestational diabetes often receive hematologic tests, urinalysis, glucose measurement, ultrasonography, pelvis exam, hemoglobin a1c measurement, examination of breast and fetal monitoring .

Common Medications

The most commonly prescribed drugs for patients with gestational diabetes include insulin, glyburide, insulin, aspart, human (novolog), multivitamin, prenatal, methyldopa, insulin isophane (humulin n), multivitamin with iron, ferrous fumarate / folic acid / polysaccharide iron complex, penicillamine (depen), bromfenac (bromday), betamethasone, cannabis (schedule i substance) and aloe vera preparation .

Who is at risk?

Groups of people at highest risk for gestational diabetes include race/ethnicity = other, age 30-44 years, race/ethnicity = hispanic, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, age 5-14 years, age 1-4 years, age 45-59 years, and age < 1 years almost never get gestational diabetes.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
2.4x
30-44 years
3.0x
45-59 years
0.0x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
0.8x
Hispanic
2.4x
White
0.6x
Other
2.0x
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