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Gestational Diabetes Amongst North American Pregnant Mothers: Responses
Crowther, Hiller, Moss et al. (2005) show that "treatment of gestational diabetes reduces serious perinatal morbidity" -- more so than simple routine care, so that was an interesting discovery based on the questions posed by Nelson and Risa. The fact that gestational diabetes does affect both the mother and the embryo/fetus is indeed troubling -- and it got me thinking about how the interventions impacted both. After reviewing the study by Crowther, Hiller Moss et al. (2005), however, I was interested in seeing what other studies showed about the relationship between gestational diabetes, fetal growth, and treatment.
The study by Catalano, Kirwan, Mouzon and King (2003) confirmed the assertion of Nelson and Risa that there is increased risk for the offspring, especially if there is evidence of pregestational diabetes. What was one consolation however was the finding within the same study that "women with normal pregravid glucose tolerance who develop gestational diabetes in late gestation have no increased risk of fetal congenital anomalies beyond the population risk for women with normal glucose metabolism" (p. 16832).
However, the study by Reece...
199). So this put me back on my guard, though I was relieved to see that the study also supported the findings of Crowther, Hiller Moss et al. (2005) when it stated that "on the other hand, there is a growing body of evidence suggesting that the risk of many of these consequences can be significantly reduced or eliminated by aggressive treatment" (p. 199). That was especially worth noting, I felt. My only question now is what is meant by aggressive treatment and whether there are any alternative treatments, such as the strict amendment of diet, that can be utilized?
2.
The second post shows that gestational diabetes can return in the form of Type 2 diabetes and I can speak from first hand (or rather second-hand) experience on this matter because my sister had gestational diabetes and after birth it appears as though she is still having issues, so she may be diagnosed with Type 2 and this is years after giving birth to her son. So the issue of gestational diabetes causing problems for the woman even after the pregnancy is over is a real one that my sister has had…
References
Catalano, P, Kirwan, J., Mouzon, S., King, J. (2003). Gestational diabetes and insulin resistance: Role in short- and long- term implications for mother and fetus. The Journal of Nutrition, 133(5): 16745-16835.
Crowther, C., Hiller, J., Moss, J. et al. (2005). Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. The New England Journal of Medicine, 352: 2477-2486.
Reece, A. (2010). The fetal and maternal consequences of gestational diabetes mellitus.
The Journal of Maternal-Fetal & Neonatal Medicine, 23(3): 199-203.
Gestational Diabetes and African-American Women Comment by Sabina: Gestational Diabetes is a diagnosis of diabetes during pregnancy. This diagnosis is usually obtained about the 24th week of pregnancy after taking a blood glucose test. A diagnosis of gestational diabetes does not mean the individual is going to become diabetic after pregnancy or was diabetic prior to pregnancy. Gestational diabetes is usually caused by the imbalance of hormones during pregnancy, along with other
Meta-AnalysesThe selected study (Dalenerolle et al., 2021) sought to determine whether race influenced the risk of gestational diabetes and related mental health disorders among ethnic minorities. The findings showed a sequelae of gestational diabetes with mental health disorders among minority ethnic groups, supporting the hypothesis that Asians, blacks, and other ethnic minorities are disproportionately affected (Dalenerolle et al., 2021).Dekkers (2018) defines a meta-analysis as a formal, quantitative study design in
Screening for Gestational Diabetes Gestational diabetes mellitus (GDM) is caused by the development of glucose intolerance during pregnancy (National Institutes of Health 2013). In the United States the National Institutes of Health (2013), U.S. Preventive Services Task Force (2008), and the American Diabetes Association (2013) are just a few agencies and organizations who have weighed in on this topic. Elsewhere, the Cochrane Systematic Reviews (Tieu et al. 2010) and the World
As blood flows, it starts attracting the fluid from the tissues and therefore more fluid is entering the kidneys when filtering the blood, causing an increase in urination. And because the body is losing so much fluid, dry mouth and an increase in thirst are initiated (Martini, Nath, & Bartholomew, 2011). Other symptoms include fatigue, blurred vision, and sudden loss of weight (American Diabetes Association, 2013). These symptoms are
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
Diabetes Management Diabetes mellitus is one of the non-communicable diseases that have continued to be in the forefront of public health challenges. Diabetes occurs when the body system is unable to produce sufficient insulin. Typically, insulin is a hormone secreted from the beta cell within the pancreases that regulates the blood sugar as well as assisting in conversion of glucose into energy. Diabetes occurs when there is high level of glucose