e Gestational Diabetes Mellitus e 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 e Approximately 15 percent of women with gestational diabetes will exibit fasting hy perglycemia
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
e Classification during pregnancy Table 1 gives a classification recommended by the American College of obstetricians and Gynecologists in 1986
Classification during pregnancy Table 1 gives a classification recommended by the American College of Obstetricians and Gynecologists in 1986
class onset Fasting plasma 2-hour therapy glucose postprandial glucose A1 Gestational<105mg/dI <120mg/d Diet A2 Gestational >105mg/dI 120mgld Insulin Class Age of Duration(yr) / ascular disease Therapy onset(yr) B >20 10 None Insulin 10-19 10-19 None Insulin D 10 >20 Benign Insulin retinopathy F Any Any nephropathy Insulin R Any Any Proliferative Insulin tinopathy H An y An y Heart Insulin Any Any Transplantation Insulin of kianey
class onset Fasting plasma glucose 2-hour postprandial glucose therapy A1 Gestational <105mg/dl <120mg/dl Diet A2 Gestational >105mg/dl >120mg/dl Insulin Class Age of onset(yr) Duration(yr) Vascular disease Therapy B >20 <10 None Insulin C 10-19 10-19 None Insulin D <10 >20 Benign retinopathy Insulin F Any Any nephropathy Insulin R Any Any Proliferative retinopathy Insulin H Any Any Heart Insulin T Any Any Transplantation of kianey Insulin
l Diagnosis .DIagnosis of Overt Diabetes during Pregnancy i presence of classical signs and symptoms (such as polydipsia, polyuria, unexplained weight loss) li. a random plasma glucose level greater than 200mg/dl or fasting glucose>= 126mg/dl Hi. presence of ketoacidosis
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