a discuss the primary goals of treatment for gestational diabetes

a discuss the primary goals of treatment for gestational diabetes

What is the primary goal in treating diabetes?

The goal of diabetes management is to keep blood glucose levels as close to normal as safely possible. Since diabetes may greatly increase risk for heart disease and peripheral artery disease, measures to control blood pressure and cholesterol levels are an essential part of diabetes treatment as well.

What is the primary nutritional goal of a pregnant woman with type 2 diabetes?

A primary goal of nutrition therapy for pregnant women with diabetes is optimal blood glucose management while encouraging adequate nutrition and weight gain and minimizing the risk of developing ketosis or hypoglycemia.

What is the best treatment for gestational diabetes?

Insulin injections are the standard medication for gestational diabetes. Your doctor may prescribe a fast-acting insulin that you take before a meal, or an intermediate- or long-acting (basal) insulin that you take at bedtime or upon waking.

What is the goal of treatment for Type 2 diabetes?

Goals of treatment are as follows: Microvascular (ie, eye and kidney disease) risk reduction through control of glycemia and blood pressure. Macrovascular (ie, coronary, cerebrovascular, peripheral vascular) risk reduction through control of lipids and hypertension, smoking cessation.

What is the goal of treatment the patients with Di?

The major symptoms of central diabetes insipidus (DI) are polyuria, nocturia, and polydipsia due to the concentrating defect. Treatment of this disorder is primarily aimed at decreasing the urine output, usually by increasing the activity of antidiuretic hormone (ADH; also called arginine vasopressin or AVP).

When do they prescribe insulin for gestational diabetes?

Therefore, insulin therapy traditionally has been started when capillary blood glucose levels exceed 105 mg per dL (5.8 mmol per L) in the fasting state and 120 mg per dL (6.7 mmol per L) two hours after meals.

What is the gestational diabetes test?

Oral Glucose Tolerance Test (OGTT) The OGTT measures blood glucose after you fast for at least 8 hours. First, a health care professional will draw your blood. Then you will drink the liquid containing glucose. You will need your blood drawn every hour for 2 to 3 hours for a doctor to diagnose gestational diabetes.

What causes gestational diabetes pregnancy?

During pregnancy, your placenta makes hormones that cause glucose to build up in your blood. Usually, your pancreas can send out enough insulin to handle it. But if your body can’t make enough insulin or stops using insulin as it should, your blood sugar levels rise, and you get gestational diabetes.

Which medical intervention would aid in managing gestational diabetes?

Insulin will not harm your baby and is usually the first choice of diabetes medicine for gestational diabetes. Researchers are studying the safety of the diabetes pills metformin and glyburide during pregnancy, but more long-term studies are needed.

What individual patient characteristics should be considered in determining the treatment goals?

Shorter life expectancy. The presence of important comorbidities, including established vascular complications. Lack of adherence or less motivation. Limited resources and support systems.

What is the basis of fluid therapy replacement for the treatment of diabetes insipidus?

Most patients with diabetes insipidus (DI) can drink enough fluid to replace their urine losses. When oral intake is inadequate and hypernatremia is present, replace losses with dextrose and water or an intravenous (IV) fluid that is hypo-osmolar with respect to the patient’s serum.

What is the treatment for nephrogenic diabetes insipidus?

Treatment of Nephrogenic Diabetes Insipidus Treatment consists of ensuring adequate free water intake; providing a low-salt, low-protein diet; and correcting the cause or stopping any likely nephrotoxin. Serious sequelae are rare if patients can drink at will.

What is first-line treatment for gestational diabetes?

Although insulin has historically been the standard therapy for women with uncontrolled GDM, oral medications are now appropriate first-line therapies as well. 2 Options for oral medications include metformin (Glucophage) and glyburide.

What does insulin do for gestational diabetes?

When you have gestational diabetes, your pancreas works overtime to produce insulin, but the insulin does not lower your blood glucose levels. Although insulin does not cross the placenta, glucose and other nutrients do. So extra blood glucose goes through the placenta, giving the baby high blood glucose levels.

Is insulin necessary for gestational diabetes?

For about 30 percent of women who develop gestational diabetes, following a diet is not enough to control their blood sugar, and they need to take insulin. Insulin is safe during pregnancy. If you’re taking insulin, you’ll still need to continue with the prescribed diet and monitor your blood sugar levels.

Which medication can be effective in delaying or preventing the onset of diabetes?

In summary, metformin is safe and effective in preventing or delaying type 2 diabetes in adults at high risk of diabetes, with a comparable effect to lifestyle intervention seen in specific subgroups (i.e., those who are more obese, younger, or have a history of gestational diabetes).

When is gestational diabetes test done?

If you’re at average risk of gestational diabetes, you’ll likely be screened during your second trimester — between 24 and 28 weeks of pregnancy. If you’re at high risk of gestational diabetes, your health care provider may recommend doing the screening as early as your first prenatal visit.

What happens at your first gestational diabetes appointment?

Routine screening for gestational diabetes Screening tests may vary slightly depending on your health care provider, but generally include: Initial glucose challenge test. You’ll drink a syrupy glucose solution. One hour later, you’ll have a blood test to measure your blood sugar level.

Who gestational diabetes criteria?

It was recommended that GDM be diagnosed if one or more of the following criteria are met: fasting plasma glucose (FPG) 5.1–6.9 mmol/L, 1-h plasma glucose (PG) ≥ 10.0 mmol/L or 2-h PG 8.5–11.0 mmol/L [5, 6]; whilst those with FPG ≥ 7.0 mmol/L or 2-h PG ≥ 11.1 mmol/L are diagnosed with diabetes in pregnancy [6].

Why is hydralazine given during pregnancy?

For many years, hydralazine has been the recommended antihypertensive of first choice for severe hypertension in pregnancy. Its side effects (such as headache, nausea, and vomiting) are common and mimic symptoms of deteriorating pre-eclampsia.