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Gestational Diabetes Mellitus: Implications for Pre-Screening and Type II
Diabetes
Gestational Diabetes Mellitus
Implications for Pre-Screening in Type II
Screening of patients for the condition of "gestational diabetes mellitus" is considered to be an extravagance from the perspective of Lepercq (2004) who considered Universal Screening to be "contentious." However due to the 6.4% mortality rate due to untreated diabetes mellitus as well as the know birth defects and maternal health effects there are those who consider pre-screening for GDM to be vital in terms of the health of the expected mother and expected child. There exist implications for the lack of prescreening in terms of ethical responsibility as well as in terms of costs realized in universal screening. Systemic study of this subject is necessary in understanding what the best practice in pre-screening actually is.
Gestational Diabetes Mellitus
Implications for Pre-Screening in Type II
- Type 1 and Type 2
Statement of Thesis:
Screening of patients for gestational diabetes mellitus stated to be "contentious" Lepercq (2004) however it is an excellent method for detection of type 2 gestational diabetes mellitus which is a condition with serious implications of adverse effects upon both the maternal and fetal health.
Chapter One
Introduction:
Gestational diabetes mellitus (GDM) is a condition characterized by glucose intolerance...
Nutritional intervention is the best management solution for the condition of GDM which incidentally is one of the most common complications in pregnancy in terms of medical complications. However, lack of treatment places both mother and child at risk screening for GDM is the current practice in medicine. There is a stated 6.4% mortality rate for untreated GDM in pregnancies of women over the age of 25 years old compared to the rate of 1.5% in women with normal glucose tolerance. This condition is one that develops as a result of the woman's pancreases failing to produce enough insulin for her needs.
Brief Historical Overview of GDM Screening:
In the review entitled "Screening for Gestational Diabetes Mellitus" stated is that: "Consideration has been given to the existing screening practices for GDM, including universal screening, risk factor-based screening, and the option of not screening for GDM." Berger (2003) The outcome of this study stated that "The short- and long-term maternal -fetal outcomes in GDM were reviewed with emphasis given to examination of the data regarding the effect of diagnosis and treatment of GDM on these outcomes." Recommendations of the study state that "A single approach of testing for GDM cannot be recommended at the present time" because stated the study, "there is not enough evidence-based data proving the beneficial effect of a large screening program." Berger (2003)
Diagnostic criteria…
Diagnosis of diabetes mellitus identifies those at risk of developing type 2 diabetes. "The uncertainty surrounding the level of glucose intolerance that should be treated as gestational diabetes is highlighted." McElduff (2003) A study conducted in relation to newly diagnosed diabetes mellitus and the symptoms or conditions to watch for states that: "Screening for diabetes makes good sense in particular in patients with overweight, hypertension ....For Type 2 diabetes is often not recognized until sequelae have put in appearance." Palitzsch (2004)
It is apparent that further study is needed in this area of pre- and peri-natal health care in order to provide the most ethical and superior care for expectant parents and expected children.
In a study entitled "Epidemiology of gestation diabetes mellitus and its Association with Type 2 Diabetes" states that in reality GDM or "Gestational
Diabetes Evidence-Based Practice Diabetes Diabetes is a disease which stays with the patient life-long except in some cases where the diabetes is gestational which occurs during pregnancy and often goes back to normal after the delivery. Typically there are two types of diabetes which are type 1 and type 2 diabetes but less common are gestational diabetes and other types which contain features of both type 1 and type 2 diabetes (Cowle
Korotkoff Phase Should Be Used as the Endpoint for the Measurement of Diastolic Blood Pressure During Pregnancy Literature Selection and Identification Critical Appraisal of Selected Literature Five Korotkoff Phases Conducting System of Human Heart Two of the most common complicating problems seen during pregnancy are the appearance of gestational diabetes and of hypertension. Both of these conditions are more likely to occur during late pregnancy and both generally abate in the postpartum period. Nevertheless,