Lesson 2 Pt. 1 Flashcards
An endocrine disorder in which the pancreas camnot produce adequate insulin to regulate body levels
Diabetes Mellitus
Who produces insulin
Pancreas
A disorder in CHO, CHON, and fat metabolism
Diabetes Mellitus
A diabetogenic state due to profound effect of hormones
Pregnancy
Risk factors of DM
Family history
Rapid hormonal changes
Tumor/infection in the pancreas
Obesity
Stress
Normal Metabolic Changes in Pregnancy that Affect DM
Increase insulin antagonistic hormone
Lower renal threshold for sugar
Excess glucose passes placenta
Vomiting decreases CHO intake
Labor activity recquires increase CHO intake
Hypoglycemia postpartum
DM develops during pregnancy and spontaneously resolves after delivery
Gestational Diabetes Mellitus / GDM
Maternal complications of GDM
Predispose to PIH, UTI
Infection: Candidiasis, UTI
Uteroplacental Insufficiency
Dystocia due to large infant
Postpartum hemorrhage
Maternal mortality
Diabetic retinopathy
Diabetic nephropathy
Fetal complications
Macrosomia
Intrauterine growth restriction
Fetal hypoxia
Hydramnios
Prematurity
Neonatal hypoglycemia
Hyperbillirubin
Hypocalcemia
Birth defect
Assessment findings
Family hx of DM / GDM
Previous LGA
Previous infant with congenital defects
Spontaneous abortion, fetal deaths,
Give Signs of Hypoglycemia
Sweating with cold, clammy skin
Pallor
Tremors, shakiness
Hunger Nausea
Confusion
Tachycardia
Blurred vision
Seizures
Unconsciousness
What is the normal glucose
80-120 mg/dl
Blood glucose is >150mg/dL
Glycosuria
These two are ysed for energy
CHON
Fats
What are used for the diagnosis of hypo/hyperglycemia
Screening test
Glucose tolerance test
