GDM

• Gestational Diabetes Mellitus (GDM)


  Type of diabetes that develops during pregnancy
• DM 1


  Juvenile onset, pancreas does not produce insulin
• DM 2


  Adult onset, pancreas produces insulin but not enough
• DM 2


  • Non-insulin dependent
  • Can take oral hypoglycemic medications (e.g. Metformin, Diamicron)
• Risk factors for GDM

  • Maternal obesity
  • Familial genetics
  • Not physically active
  • Previous GDM history
  • PCOS history
• Teratogenic


  Harmful to the developing baby
• Insulin is given to GDM, not oral hypoglycemic, because oral hypoglycemic is teratogenic
• Treatment for GDM


  1. Diet

  2. Insulin

  3. Exercise
• Complications of GDM


  • CPD (Cephalopelvic disproportion)
  • Hypoglycemia
  • Macrosomic baby
  • Preterm labor