Gestational Diabetes MellitusDiabetes isthe mostcommonmedical complicationof pregnancy.Patient can beseperated into thosediagnosed during pregnancyIt is estimated that 90 percent of allpregnacies complicated by diabetesare due to gestational diabetesApproximately15percentofwomenwith gestational diabetes will exibitfastinghyperglycemia
Gestational Diabetes Mellitus Diabetes is the most common medical complication of pregnancy. Patient can be seperated into those diagnosed during pregnancy It is estimated that 90 percent of all pregnacies complicated by diabetes are due to gestational diabetes Approximately 15 percent of women with gestational diabetes will exibit fasting hyperglycemia
Classification during pregnancyTable1givesaclassificationrecommendedbytheAmericanCollegeof ObstetriciansandGynecologistsin1986
Classification during pregnancy Table 1 gives a classification recommended by the American College of Obstetricians and Gynecologists in 1986
Il.Diagnosis(U)Diagnosis of Overt Diabetes duringPregnancyi.presenceof classicalsignsandsymptoms(suchaspolydipsia,polyuria,unexplained weight loss)ii.a random plasma glucose levelgreaterthan 200mg/dlorfastingglucose>=126mg/dlili.presenceofketoacidosis
II. Diagnosis (I)Diagnosis of Overt Diabetes during Pregnancy i.presence of classical signs and symptoms (such as polydipsia, polyuria, unexplained weight loss) ii.a random plasma glucose level greater than 200mg/dl or fasting glucose>= 126mg/dl iii.presence of ketoacidosis
()Diagnosisof gestational diabetesi.High risk factors: a familial historyof diabetes,given birthto largeinfants,unexplainedfetal lossesobesityii.Screaning50g oral glucose challengetest:Avalueof140mg/dl(7.8mmol/l)orhigherwill identify80%ofall womenwith gestational diabetes
(II)Diagnosis of gestational diabetes i.High risk factors: a familial history of diabetes, given birth to large infants, unexplained fetal losses, obesity ii.Screaning 50g oral glucose challenge test: A value of 140mg/dl(7.8mmol/l)or higher will identify 80% of all women with gestational diabetes