Gestational diabetes is a disease found among women only when they are pregnant; where it has an effect on the way the body utilizes sugar (glucose) which is the main source of energy. It should be noted that, gestational diabetes can lead to ‘high blood sugar levels’ among pregnant women; which are improbable to cause harms and which affect the wellbeing of the unborn baby. In this case, gestational diabetes denotes any quantity of glucose intolerance with the beginning or initial acknowledgment during pregnancy. Further it can be argued that, gestational diabetes is caused when the varying hormones and mass gain make makes it difficult for the pregnant woman’s body to carry on with its need for insulin. In this case, the body lacks the vigor required from the food eaten (Davidson, 1998).
It can be argued that, gestational diabetes has a small number of signs among pregnant women and it is in most cases detected through screening. In this case, analytic tests sense unsuitably high degrees of glucose in blood samples. According to studies and researches done on gestational diabetes; depending on population studied, gestational diabetes affects 3-10% of pregnancies with 135,000cases detected each year (American Diabetes Association, 2001).
Client risk factors
It can be argued that, babies born to mothers with gestational diabetes are at higher risks of troubles including being big for gestational time, which might result to deliverance difficulties; low blood glucose and jaundice. On the other hand, the new born may be prone to mounting babyhood fatness where it may have type 2 diabetes in its later life. In addition, babies born of a mother with gestational diabetes are at the risk of perinatal mortality, birth trauma and or neonatal hypoglycemia (Martin, 2004).
Further, mothers suffering from gestational diabetes are at an increased risk of type 2 diabetes or latent autoimmune diabetes later in her life. On the other hand, mothers risks of developing complications when delivering and also preeclampsia or type 2 diabetes increases. It is of importance to note that, someone who comes from a family which has been known to have diabetes; will be at a higher risk of getting gestational diabetes than one who has no historical diabetes within the family. Additionally, a mother who has siblings who she socializes with and has diabetes is at a risk (American Diabetes Association, 2005).
Dynamics of the disease process in relation to cellular disruption and effect upon major body system
It can be argued that, increased serum triacylglycerol (TAG) and NEFA degrees are connected with the increase in weight and type 2 diabetes; adding up to lipid accretion in many nonadipose tissues. In this case, this unsuitable accretion of surplus lipid results to cellular dysfunction and decease of cells. A good example here is the verifications from rodent representations; powerfully implicating cardiac accretion of lipid which is the onset of heart failure in diabetes (Davidson, 1998).
Pertinent assessment data including diagnostic studies
It should be noted that, gestational diabetes is noticed through a glucose tolerance test conducted from week 24 all through week 28 of the pregnancy. In this case, this test is all about drinking a glucose solution after which the blood is removed and glucose level measured. It is of importance to note that, the diagnosis of gestational diabetes includes the consumption of a cautiously considered diet; having a lot of exercises, upholding a vigorous pregnancy weight, observing glucose levels and dairy insulin vaccinations. In addition, the diagnosis and succeeding management of gestational diabetes after given birth has significant inferences for the deterrence of type 2 diabetes. Based on this, diagnosis suggestions for gestational diabetes are based basically on facts from early tests signifying that insulin diagnosis can decrease the occurrence of macrosomia (Martin, 2004).
Further it can be argued that, gestational diabetes involves the placenta’s hormones which help in the baby’s growth. In this case, a mother is deprived of the vaccinated insulin needed when these hormones are blocked. Additionally, there are two types of diabetes which include type 1 and type 2 diabetes. In this case, women suffering from gestational diabetes are at an increased risk of type 2 diabetes in their later life (American Diabetes Association, 2005).
In order to treat a woman of gestational diabetes, it is further important to note her past medical history. In this case, a woman who had been treated of diabetes; stands a higher chance of type 2 diabetes in her later life. On the other hand, it is important to note the diagnostic information about a patient, like whether she had ever been treated of high blood pressure. In this case, a patient who had high blood pressure earlier on; is more likely than not to suffer from type 2 diabetes. It can also argued that from the pertinent data on the diagnosis of gestational diabetes; there are positive and negative implications. In this case, the positive implications include the assurance of a proper care-diet modification, exercise and medication are initiated. On the other hand, the negative implications of gestational diabetes diagnosis especially testing are the experiences of nausea during testing. On the other hand, a woman to be screened must have no low risk; that is must be younger than 25 years of age with no individual cultural or family risk factors (Jovanovic, 2009).
Medical Management
It can be argued that, gestational diabetes should be carefully treated to avoid the further complications associated with it. Thus it is of importance to note that, the testing for gestational diabetes should be done during or before pregnancy. In addition, the best management for gestational diabetes is designing a reasonable diet plan. Based on this, this diet plan should address the gestational diabetes problems and at the same time provide the unborn with sufficient nutrients and calories. On the other hand, a patient is supposed to have a reasonable level of exercises; which help the body utilize insulin more effectively and as a result controlling its blood sugar levels (American Diabetes Association, 2001).
It is of importance to note that, the diagnosis for gestational diabetes engages in making choices. In this case, most women who make changes in their eating habits and modes of exercising are usually capable of maintaining their blood sugar level within a target range. Based on this, the control of blood sugar is the main factor in preventing complications during pregnancy or delivery; where it should be noted that as these changes are made concerning eating habits and mode of exercising; a woman will be in a position to learn how her body reacts to the food and practice engagements. By doing this, a woman will have no problems when delivering and also will have more energy (Martin, 2004).
On the other hand, in the case that a patient is not improving; she should consult her medical adviser for advices on diet change. In this case, a patient would have a regular checking of blood sugar at home; in order to know whether she is improving or not. Importantly, all diagnostic plans should stress on a decrease in the cardiovascular risk; putting much consideration chiefly on hypertension control and smoking termination of dyslipidemia. Further, the present advancement to control of drug treatment in patients with type 2 diabetes is to start insulin therapy; in the case a mixture of two oral means is unable to offer adequate glycentric control (Davidson, 1998).
Pharmacological therapy
It is of importance to note that, because insulin arrangements tried currently have been determined not to cross the placenta or to cross plainly; insulin has been the therapy of preference in most parts worldwide for patients with gestational diabetes. In this case, even though developments have been made in developing insulin levels that may be managed by substitute routes; insulin is naturally vaccinated subcutaneously. From earlier researches and studies it can be argued that, the use of glyburide during pregnancy is supported. On the other hand, there is inadequate evidence to support or refute the use of metformin. In this case, metformin is an agent that has been shown to cross the placenta; thus could be helpful or harmful to the developing unborn baby (Jovanovic, 2009).
Medical and/or surgical intervention
In this case, therapy in general for gestational diabetes can overturn the high glucose levels within the blood and hence reduce or completely eliminate likely problems. Based on this, therapy contains a well incorporated arrangement that comprises of normal physical exams and trying of glucose levels by a health care practitioner (American Diabetes Association, 2005).
It should also be noted that, even though a cautiously impartial diet and an insulin vaccination have been used to control gestational diabetes; there is a new proof that high insulin levels can be harmful. In this case, there are no proofs that it leads to death but the long term consequences on the child are not clear. Further, It should be noted that from studies and researches carried out concerning gestational diabetes; patients have been known to respond to treatments. On the other hand, in the case a patient does not respond to the treatments; the patient’s medical advisor should give directions on changes in diet and exercises (American Diabetes Association, 2001).
Study
It is of importance to note that, the treatments given to gestational diabetes patients are appropriate and useful. Based on a personal perspective, other forms of therapies like pure bitter melon and morpheme pure herbs could be applied. In this case, these remedies for gestational diabetes are readily available at homes and are less expensive. On the other hand, there are other natural herbs used in the cure of gestational diabetes which include grape fruits and leaves of a mango tree. It can also be argued that, diet is very crucial as far as the treating of gestational diabetes is concerned since it has no side effect like it could be with drugs. From this, it would be advisable for a patient to supplement cereals with gram in trying to lower the blood sugar within the body. It should further be noted that, gestational diabetes is ranked fifth among the leading death causing diseases in America; hence its consideration should be prioritized. Based on this, it would be appropriate to take a whole fruit rather than fruit juices in the control of gestational diabetes. It is of importance to note that, when natural remedies are used in the treatment of gestational diabetes; they relief a patient and the stresses of using drugs always (American Diabetes Association, 2005).
Reference lists
American diabetes Association. (2001). Gestational diabetes: what to Expect, 4th edition. Virginia: American diabetes Association Publishers
American Diabetes Association. (2005). Gestational Diabetes: what to Expect. Virginia: American Diabetes Association Publishers
American diabetes Association. (2005). Diabetes 4-1-1: Facts, figures and Statistics at a Glance, 1st edition. Virginia: American diabetes Association Publishers
Davidson, M. (1998). Diabetes Mellitus: Diagnosis and Treatment, 4th edition. Philadelphia: W.B. Saunders Publishers
Jovanovic, L. (2009). Medical Management of Pregnancy complicated by Diabetes, 4th edition. Virginia: American Diabetes Association Publishers
Martin, P. (2004). The Everything Diabetes Book, 1st edition. Ohio: F+W Media Publishers