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Parenting Fail Nude – Gestational diabetes mellitus (GDM) is the most common medical complication of pregnancy, and the prevalence continues to increase in the United States. There are 380,000 gravid each year, about 90% of svangerskabsdiabetes from day to day in GDM. Forekomsten af ​​​sygdommen er just end fordoblet i det siste årti blandt hvide, overvägtige og lavindkomstkvinder sammen med amning, fedme og physiksik inactivitt.

The simple end of GDM causes the risk of morbidity and death, en risiko, der stiger progressivet med svärhedsgraden af ​​​​svärhedsgraden af ​​​​svärhedsgraden af ​​​​svärhedsgraden af ​​​​svärhedsgraden af ​​​​svärhedsgraden af ​​​​svärhedsgraden af ​​​​hiperglycemi og falder med behandelinger, som konferen both gejstellunger og gerättbehandlinger.

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Hos børn kan maternal hypoglycemia fære til føtal veksspurt (macrotumor, forstørret under gravity), føldsdefekter, neonatal hypoglycemia, sværetet lungevækst og føtal anæmi. For mothers, the risk of GDM is increased due to back pain, prevention and prevention. Setting the history to different criteria, der blev brugt til at diagnoste GDM, based on the probability of developing type 2 diabetes later, I lived, ended at the time of identification, der var i risiko for poor reproductive outcomes due to glucotolerance. Identify hyperglycemic and adverse gravity outcomes (HAPO) and establish global prediagnosis criteria for GDM and only the last 25.000 gravity. Denne’s study showed that in hyperglycemia, defined as 75 g, the 3-timer oral glucose tolerance test (GTT) value, the oral glucose tolerance test (GTT) value, with increased risks. . Fertility, fetal C-peptide levels and fetal fat.

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HAPO-Outcome was the International Diabetes and Pregnancy Study Group (IADPSG) 1st screening for GDM. Men As a result of systematic genetic modification, the National Institutes of Health GDM diagnosis research conference is sufficient to screen the recipient and after 1 test, which is included in the modernized period of the postpartum period. En trin-for-trin infing til screening and diagnosis.

GDM is a disease that is limited to pregnant women and glucose intolerance first appears during pregnancy. Most af disse kvinder har normale fastende glucoseniveauer. Derfer er en glukoseudfordring gegendet for at kleiner denne timannd. Historisk set er risikfactorer samme familiehistorie med diabetes, makroskopisk eller obstetric history, fatme, krönik hypertension og moderens alder blijd brugt til at screene kvinder med høj risiko for GDM. The problem is, at the end it was halved in half extraordinary GTT ikke har nogen riskikfactorer.

The American College of Obstetricians and Gynecologists (ACOG) recommends universal screening for all pregnant women. This test is usually performed between 24 and 28 weeks, when gestational diabetes is detected. The most commonly used screening strategies include den IADPSG-anbefalede fase 1-screening and den ACOG-anbefalede fase 2-screening (Table 1).

The En et-trins test is a 75-g, 2-timer oral GTT for the diagnosis of GDM.

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Et-to-facet trials involve an initial 50 g glucose load followed by a 3-timer oral GTT up to 100 g. This test for 50 g of glucose has a can-can column after Tom Mawe Elter et al. A plasma value of 130 to 140 mg/dL is usually used to perform a 3-timer GTT. The diagnosis of GDM based on the 3-time GTT is supported by the criteria of the ACOG National Diabetes Data Group (NDDG) or simply the strict criteria of Carpenter og Costan. Despite the criteria for a confirmed diagnosis of GDM, hvis en GTT-værdi torøre end 2 or 4 overskred den estältte tärskel after oral administration.

Flere studies each time, although flere kvinder (næsten to gange) kan diagnosticeres med GDM ved høj af 1-trins IADPSG-metoden compared to 2-trismetoden. It is important that adverse neonatal outcomes, including macromorbidity, do not occur. To conclude the 2 screening strategies of the American Diabetes Association (ADA), the current challenge is to: (1) demonstrate and validate the strategy before using the data; : (3) Further research is needed.

Year I reported by Hillier et al. Results af et stort, randomiseret prössig, der comprarde et-trins og to-trins metodere hos 24.000 gravide kvinder.

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In accordance with previous data, ved brug af IADPSG-tilgengen var frekennen af ​​​GDM simple last fordoblet (17% vs. 9% compared to med to-trins asfbinen. Hypertension due to the results of the combination of gravity, early pregnancy and birth and birth age , the dog occupies a different group.The results of this study indicate that although phase 1-screening can detect flere kvinder med GDM and fase 2-screening, maternelle eller reproduktive efekter ikke med denne affign is observed.

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ACOG recommends early screening for pregnant women with a history of GDM. medical diabetes. and members of the most vulnerable racial and ethnic groups. This is not confirmed during the diagnosis of diabetes, when he found HbA1C-Nisteljungen. The value is 6.5% if I diagnose type 2 diabetes regardless of severity and follow-up. Kvinder med HbA1C associated with low glucose tolerance and diagnosis oral GTT, fordi 1 ud af 4 skin will develop GDM. Dem med HbA1C-neveauer under 5.7 % kan screens hver 24. til 28. uge. If the patient was treated with an HbA1C of less than 5.7%, risk factors in men, ergeögt at finde GCT, fordi HbA1C-niveau alene moderat kan predict early GDM and two-rapidly compared to the effect.

Grundpillen i begüllen af ​​​​GDM begins with nutritional advice, cost management and lifestyle interventions, such as daily movements to reduce postprandial blood lipids (Table 2).

The discount price includes a 40% calorie and complex simple hydrator reduction. Anbefalet daily exercise includes 30 minutes of moderate intensity exercise at least 5 days a week. It is important to note that many women with GDM lose weight, and the Institute of Medicine’s 2009 Pregnancy Weight Loss Guidelines provide specific recommendations for women with GDM.

Evidence from 2 shop studies conducted over 20 years in GDM lifestyle interventionist for GDM gavner bote mor og barn. Australskale kulhydratintolerance and gravide kvinders study, and a 10-fold randomized control study (RCT) with 1000 kvinders, significant reduction and complex composer (medfødt kleuttehed, shoulderartralgi, førld).

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I en National Department of Child Health and Human Development, RCT, included 928 kvindere med mild GDM, fandt eftersforskere ingen förskilde i väjäheden af ​​​​Kompositert (neonatal death, neonatal hypoglycemia, high serum g). The birth of the peptide hand. trauma) compared to standard medical therapy. Men de fandt en reduce risk for fostervækst, neonatal fedtmasse, skuldergigt, kejsersnit og svangerskabsforhøjet blodtryk.

Når pacienten påbegynder et Propertnings- og exercise program, blood sugar level monitor amount sikre glycemic control. Dette takes normally ved at lade on the patient’s monitor reduces blood glucose levels, including fasteniveauer og 3 postprandiale measurements 1 or 2 timers after hvert mål. Målgrønser for blood glucose, or a blood glucose concentration of 95 mg/dL, a 1-time postprandial glucose end of 140 mg/dL, and a 2-timer glucose minre end of 120 mg/dL (Table 3). ACOG and ADA recommend similar restrictions for GDM and gestational diabetes.

Når frst kvinder og objektsirer en God blood sugar control, kan Hult af test reducers. Hvis disse mål ikke nås, og maximale fast- og/eller postprandiale values ​​​​er forhøjede, we recommend gerätkebehandling.

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It is important to note that it is continuous glucose monitoring (CGM) that treats diabetes. Denne teknik er ekden ikke bljt bjordt i vid udstrækning i GDM, although nye data tyder på, at CGM kan identifikken ogle søndinger, der ikke kan påvises ved natlige blood glucose measurements, som kan kan reedited eredrededsiive results for. .

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The problem is that at least 1 in 4 women with GDM have contact, or the cost of movement, or Medicare medicine to control it.

Der er ikke fastlagt nogen absolut tørskel for påbegyndelse af gerätsbehandling. The most time is between 30% and 50% of the fingertip consumption and at one time (mainly contains blood sugar ≥ 95 mg/dL and ≥ 120 mg/dL). Both ACOG and the ADA recommend the use of insulin as both a placental criterion and improved reproduction.

Although weight-based insulin in kan bridge and severity first trimester, and online-release was available, er den enkleste klinische behandling en englet dosis langtidsvirkende neutral protamine.

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