Who is at risk?                                 Recommendations for future
If you circled yes to any of the self assess-  ...
Self Assessment Questionnaire
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Gestational Diabetes Resource For Women


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Gestational Diabetes Resource For Women

  1. 1. Who is at risk? Recommendations for future If you circled yes to any of the self assess- testing. PREGNANCY ment questions you could be at a higher If you have had gestational diabetes in INFORMATION SERVICES risk of developing gestational diabetes. pregnancy you should have a repeat blood test when your baby is 6wks old and then Instructions for accurate have a blood test every 2 years. Information is testing for 2hr glucose test empowerment for all. Three days unrestricted, carbohydrate Preventative Dietary Advice rich diet and activity. Maintain a healthy weight. No medication on the day of the test. Exercise 12-h fast. Consider maintaining healthy fitness. No smoking. References Gestational Questions to ask. Do I have a mild or serious form of gesta- Farrar,D,Duley L,Lawlor, D.A. (2009) Alternative tests for diagnosing gestational diabetes (protocol) The Cochrane Collabo- ration Retrieved from the Cochrane library 19/11/09 Diabetes tional diabetes? Diabetes New Zealand There is almost clinical consensus to treat http://www.diabetes.org.nz/about_diabetes/gestatio nal_diabetes severe forms of gestational diabetes. How- Reinauer,H. Home, PD, Kanagasabapathy A.S. ever, treating the milder forms of gesta- (2002) WHO Laboratory Diagnosis and Monitor- tional diabetes is more controversial ing of Diabetes Mellitus Diabetes Action Now If I believe I am at low risk of developing http://www.who.int/diabetes/en/DANbooklette gestational diabetes do I need to be xt%20ENGLISH.pdf tested? Definition and diagnosis of diabetes mellitus and inter- Screening during pregnancy can be con- mediate hyperglycaemia Report WHO/IDF con- troversial when pregnancy and birth are sultation WHO 2006 http://www.who.int/ supposed to be kept as a normal life event diabetes/publications/Definition%20and% which occurs to healthy women. 20diagnosis%20of%20diabetes_new.pdf Khatib OMN,(2006) Guidelines for the preven- tion and management of diabetes mellitus. http://whqlibdoc.who.int/ emro/2006/9789290214045_eng.pdf Alwan N, Tuffnell DJ,West J. (2009) Treatments Future implications for your for gestational diabetes The Cochrane Collabo- ration health Pairman, Pincombe, Thorogood, Tracy. (2006) Pamela Harnden 04002987 Midwifery Preparation for Practice. Elsevier Women who have developed diabetes Tieu J, Crowther CA, Middleton P. Dietary ad- If you are worried, concerned or during pregnancy are at greater risk of vice in pregnancy for preventing gestational have any questions you should con- diabetes mellitus. Cochrane Database of Sys- tact your lead Maternity Carer. type 2 diabetes later in life . tematic Reviews 2008, Issue 2. Art. No.: CD006674. DOI: 10.1002/14651858.CD006674.pub2.
  2. 2. GESTATIONAL DIABETES (GDM) Self Assessment Questionnaire Screening for gestational 1. Do you have a family history of What is gestational diabetes? diabetes. type 2 diabetes? (Parents/brothers/ Gestational diabetes occurs when a preg- 1.) High Risk– Fasting blood glucose test sisters) Yes No nant woman has high levels of glucose in in the 1st trimester 2. Have you had diabetes in a pre- her blood. High blood glucose is caused 2.) High Risk & average risk—A 2hr glu- vious pregnancy? Yes No because the mother can’t produce enough cose test at 24-28wks. insulin (a pregnant woman’s insulin needs 3. Have you had a previous baby are two to three times that of normal).There 3.) Low risk—1hr glucose test at 24- with a birth defect? are two reasons why the mother needs more 28wks Yes No insulin: 3.) Urine testing at each A/N visit 4. Are you very overweight? Because pregnancy causes certain types of Yes No hormones (that are made by the placenta) to Fasting blood test in 1st 5. Are you over the age of 30? be released. These hormones make it 12wks will detect 40% of Yes No harder for insulin to do its job cases 6. Have you had a stillborn baby Because the growth demands of the foetus or a spontaneous miscarriage? (developing baby) increases the mother's Fast from 12mn and then have a blood Yes No need for insulin. In most cases women will test taken at the lab. Follow that up later have no symptoms of having the condition. in pregnancy with :- 7. Have you previously had a The condition temporarily occurs during baby which weighed more than pregnancy and things then return to normal. OGTT –2hr test will detect 9lb? Yes No 31% of cases 8. Have suffered high blood pres- What are the effects on mum? (Oral Glucose Tolerance Test). Only test sure in a previous pregnancy? Urinary Tract Infections or High blood pres- which can confirm diabetes in preg- Yes No sure nancy. 9. Have you ever suffered from Pre term labour/increased risk of labour being induced.+ increased fluid around Fast from 12MN, visit lab 1st blood test repeated urinary tract infec- baby taken then given 75g Glucose drink and tions? further blood test taken 2hrs later. Yes No Caesarean Section 10. Have you suffered from too and baby? OGTT—1hr test much amniotic fluid in previous (Oral Glucose Loading Test) pregnancy? High/low birth weight Yes No No fasting visit the lab and drink a 50g Perceived increased risk of shoulder be- drink of glucose stay at the lab for 1hr 11. Do you come from a Maori, coming stuck during birth. then have blood taken. A test which is Asian, Tongan or Samoan Back- Respiratory distress after birth / Jaundice recommended as routine by the Royal ground? Yes No Australian and New Zealand College of Reduced blood flow to the placenta giving Obstetricians and Gynaecologists. increased risk of stillbirth.