High blood sugar that is 1st diagnosed during pregnancy
Signs & Symptoms
- Thirst
- Urinary Frequency Fatigue
- Nausea
- Blurred vision
Risk Factors
- Overweight AMA
- History of GDM
- Multiples
- Poor diet
Testing
Initial Glucose Challenge
Done between weeks 24-28
1 hour test
Results > 140mg/dL need follow up testing
Follow up Testing
Patient has to fast overnight
Testing done at 1 hour, 2 hours & 3 hours
If 2 out of 3 are high = GDM
The Nurse’s Role
● Monitor Blood Sugar
● Monitor baby (NSTs & BPP)
● Teaching: Diet and exercise, stress management, infection control, insulin injection, weigh self at home
Complications for Mom
Preterm birth
Preeclampsia
Type 2 DM
Complications for Baby
Macrosomia
Hypoglycemia after delivery
RDS (↑ insulin =↓ surfactant)
Polycythemia
Shoulder dystocia