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Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy. [2] Gestational diabetes generally results in few symptoms ; [ 2 ] however, obesity increases the rate of pre-eclampsia, cesarean sections, and embryo macrosomia, as well as gestational diabetes. [ 2 ]
To properly diagnose gestational diabetes following an abnormal result from the glucose challenge screen Very low risk, however there is the potential for bruising, pain, nerve damage, fainting, haematoma, bacterial infection, and bloodborne pathogen exposure. Non-stress test [21] Week 28 - onward Non-invasive
Fetuses of mothers who developed gestational diabetes mellitus (GDM) grow faster already before the time GDM was diagnosed (women are typically screened at 28 weeks of gestation), suggesting that screening for GDM should be performed earlier (at 24 weeks). [11]
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Experiencing gestational diabetes during a previous pregnancy. ... This testing is typically done between weeks 24 and 28 of pregnancy, ... it can signal diabetes. Autoantibody test.
Glucose loading test (GLT) – screens for gestational diabetes; if > 140 mg/dL, a glucose tolerance test (GTT) is administered; a fasting glucose > 105 mg/dL suggests gestational diabetes. [20] Most doctors do a sugar load in a drink form of 50 grams of glucose in cola, lime or orange and draw blood an hour later (plus or minus 5 minutes).
Screening for diabetes during pregnancy continues to require fasting and glucose-tolerance measurements for gestational diabetes at 24 to 28 weeks gestation, although glycated hemoglobin may be used for screening at the first prenatal visit. [37]
Gestational diabetes resembles type 2 diabetes in several respects, involving a combination of relatively inadequate insulin secretion and responsiveness. It occurs in about 2–10% of all pregnancies and may improve or disappear after delivery. [67] It is recommended that all pregnant women get tested starting around 24–28 weeks gestation. [68]
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