Diabetes Mellitus and pregnancy Flashcards

1
Q

What is diabetes mellitus?

A

disorder where the pancreas cannot produce enough insulin to regulate the bodies glucose levels

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2
Q

What is the primary problem of diabetes mellitus?

A

Balancing of the insulin and glucose levels

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3
Q

What occurs in hyperglycemia?

A

Polydipsia
Polyuria
Polyphagla

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4
Q

What is polydipsia

A

extreme thirst

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5
Q

What is polyuria

A

frequent urination

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6
Q

what is Polyphagla?

A

hunger

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7
Q

What is hyperglycemia??

A

high blood glucose level

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8
Q

What is hypoglycemia?

A

low blood glucose level

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9
Q

What occurs during hypoglycemia?

A

shaking
sweating
irritable
headache

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10
Q

What are the classifications of diabetes DM?

A

type 1
type 2
gestational diabetes

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11
Q

What is type 1 diabetes?

A

absolute insulin deficiency due to an autoimmune process

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12
Q

What is type 2 diabetes?

A

Insulin resistance or deficiency

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13
Q

List the risk factors of type 1 diabetes

A

none

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14
Q

List the risk factors of type 2 diabetes

A

family history
sedentary lifestyle
Overweight
diet having too much fat and sugar

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15
Q

What is gestational diabetes mellitus?

A

glucose intolerance during pregnancy

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16
Q

What is pregestational diabetes?

A

Alteration in carbohydrate metabolism identified before conception

17
Q

Complications for mothers with gestational diabetes

A
preterm labor
stillbirth
uti
spontaneous miscarriage
Postpartum hemorrhage
18
Q

Complications for fetus with gestational diabetes

A
Cord prolapse
cardiac problems
caudal regression syndrome
Macrosomia
Neonatal hypoglycemia
19
Q

How can you prevent DM?

A

control weight
ecercise
dont smoke

20
Q

Diagnostic tests for diabetes?

A

fasting plasma glucose > 126 mg/dl
Nonfasting plasma glucose >200 mg/dl
75g oral glucose challenge test

21
Q

What is the normal values in the normal glucose Challenge test for fasting?

A

95

22
Q

What is the normal values in the normal glucose Challenge test for 1 hour?

A

180

23
Q

What is the normal values in the normal glucose Challenge test for 2 hours?

A

155

24
Q

What is the normal values in the normal glucose Challenge test for 3 hours?

A

140

25
Q

What should the treatments in DM include?

A

nutritional management
insulin regimens
close maternal and fetal surveillance

26
Q

What should you do as a nurse during nutritional management?

A

focus maintaining balanced glucose levels and provide energy and nurtients for the mother

27
Q

What should you do as a nurse during insulin regimens?

A

frequent blood glucose measurements
avoidance of oral hypoglycenmic agents
give insulin pump