gestational%20diabetes%20mellitus
GESTATIONAL DIABETES MELLITUS
Gestational diabetes mellitus (GDM) is any degree of glucose intolerance with onset or first recognition during pregnancy.
Hyperglycemia in pregnancy may be suggested by the presence of glycosuria, a fetus that is large for date, or polyhydramnios.
Overt diabetes mellitus may be found in women presenting with risk factors for type 2 diabetes during the first prenatal visit (before 13 weeks of gestation).

Monitoring

  • Measure blood pressure, body weight, urinary protein, and check for edema every prenatal visit to detect the development of preeclampsia
  • Regular retinal and renal assessment during pregnancy
  • Monitor urine and/or blood ketones to confirm if diet is adequate
    • Starvation ketosis is common in pregnancy and may have detrimental effects to the fetus
    • Exclude diabetic ketoacidosis in the patient if she is ill or is hyperglycemic
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