Gestational Diabetes

Question 1

What is gestational diabetes?

Answer 1

A glucose intolerance that is diagnosed in pregnancy. The baby cannot produce enough insulin which helps to control blood sugars

Question 2

What are the symptoms of gestational diabetes?

Answer 2

Increased thirst
Glycosuria
Need to PU more frequently 
Dry mouth
Increased tiredness / fatigue

Question 3

What are some risk factors for getting gestational diabetes?

Answer 3

• Rasied BMI
• Previous GDM
• Family origin e.g south Asian, Chinese and Afro Caribbean
• Parental / sibling diabetes

Question 4

What is the treatment of gestational diabetes?

Answer 4

• diet controlled (if stable)
• accurate recording of blood sugars ( pre and post )
• insulin treatment if poorly controlled

Question 5

What are 4 complications of GDM?

Answer 5

1. Polyhydramnious
2. Macrosomic baby
3. Neonatal hypoglycaemia
4. IUFD

Question 6

What is the role of the midwife with gestational diabetes?

Answer 6

• full explanation of the condition
• escalation when women present with 2x 1+ or 1x 2+ of glucose
• work with MDT for plan of care
• ensure women are aware to monitor fetal movements due to increased risk of IUFD
• advice diet change and support / reassurance
• inform of future increased risk of type 2 diabetes