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Gestational Diabetes - Coggle Diagram
Gestational Diabetes
Risk Factors
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Have blood sugar levels that are higher than they should be but not high enough to be diabetes (this is called prediabetes)
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Nursing care
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Check your urine for ketones, chemicals that mean that your diabetes isn’t under control
Diagnosis
If you're at average risk of gestational diabetes, you'll likely have a screening test during your second trimester — between 24 and 28 weeks of pregnancy.
If you're at high risk of diabetes
— for example, if you're overweight or obese before pregnancy or you have a mother, father, sibling or child with diabetes
— your doctor may test for diabetes early in pregnancy, likely at your first prenatal visit.
Pathophysiology
One main aspect of the underlying pathology is insulin resistance, where the body’s cells fail to respond to the hormone insulin in the usual way. Several pregnancy hormones are thought to disrupt the usual action of insulin as it binds to its receptor, most probably by interfering with cell signalling pathways.