Wk8 6551 Practicum: Journal Entry

Wk8 6551 Practicum: Journal Entry

Thepatient under consideration is suffering from gestational diabetes.This complication arises when there are hormonal changes duringpregnancy and makes it cumbersome for the body to use insulinefficiently (Stafne et al., 2012). In cases where insulin cannotproperly lower the sugar to normal, the result is very high sugarcontent. The condition may not be dangerous for the mother, but itleads to several problems for the fetus. Gestational diabetes islikely to result into macrosomia, a condition of excessive growth ofthe fetus that ends up increasing the chances of cesarean deliveryand risks of birth injuries (Ornoy, 2011). In instances of properglucose control, macrosomia is reduced.

PersonalHistory

Thepatient is 26 years of age and comes from a family that has a historyof diabetes. She is of American Indian origin. She has had two babiespreviously who were big one was 10.2 pounds and the other 9.6pounds. While carrying the other babies the patient had a personalhistory of gestational diabetes.

MedicalHistory

1.The patient suffered obesity before pregnancy.

2.High blood pressure

3.Suffered from polyhydramnios, a state of having excess amnioticfluid

DrugTherapy and Treatments

Partof the treatment process involved the glucose tolerance test. Thepatient was required to consume a drink that contained a definitequantity of glucose. After some specific time, the doctor thenchecked the blood sugar levels (Sacks et al., 2012).

Treatmentthat was given for the gestational diabetes was advice on changinglifestyles and medicines. In addition, the physician recommendedchanges in diet. The patient was instructed to decrease thecarbohydrate intake and increase the consumption of vegetables andfruits. The doctor also recommended that the patient takes part inlow-impact exercise (Stafne et al., 2012).

Implications

Eventhough gestational diabetes is feared, it always fades away in thepostpartum period. Nonetheless, women who suffer from thecomplication stand higher chances of having diabetes later in life ascompared to those who did not have. The condition is also likely toaffect negatively the chances of an individual being pregnant again(Tobias et al., 2011).

References

Ornoy,A. (2011). Prenatal origin of obesity and their complications:Gestational diabetes, maternal overweight and the paradoxical effectsof fetal growth restriction and macrosomia.&nbspReproductivetoxicology,&nbsp32(2),205-212.

Sacks,D. A., Hadden, D. R., Maresh, M., Deerochanawong, C., Dyer, A. R.,Metzger, B. E., … &amp Persson, B. (2012). Frequency ofgestational diabetes mellitus at collaborating centers based onIADPSG consensus panel–recommended criteria the hyperglycemia andadverse pregnancy outcome (HAPO) study.&nbspDiabetescare,&nbsp35(3),526-528.

Stafne,S. N., Salvesen, K. Å., Romundstad, P. R., Eggebø, T. M., Carlsen,S. M., &amp Mørkved, S. (2012). Regular exercise during pregnancyto prevent gestational diabetes: a randomized controlledtrial.&nbspObstetrics&amp Gynecology,119(1),29-36.

Tobias,D. K., Zhang, C., Van Dam, R. M., Bowers, K., &amp Hu, F. B. (2011).Physical activity before and during pregnancy and risk of gestationaldiabetes mellitus A meta-analysis.&nbspDiabetescare,&nbsp34(1),223-229.