Gestational diabetes mellitus (GDM) is diabetes during pregnancy that a women never had it before.The risk factor includes age greater than 25, family or personal health history and excess body weight.
And what exactly cause a women to have GDM? In gestational diabetes, the placenta hormones provoke a rise in blood sugar to a level that can affect the growth and welfare of your baby. During pregnancy, the placenta that connects your growing baby to your blood supply produces high levels of various other hormones. Almost all of them impair the action of insulin in your cells, raising your blood sugar. However, modest elevation of blood sugar after meals is normal during pregnancy. As your baby grows, the placenta produces more and more insulin-bloking hormones. Gestational diabetes usually develops during the last half of pregnancy-sometimes as early as the 20th week, but usually not until later. For most women, blood sugar levels go back to normal quickly after the baby is born.
Sunday, 25 November 2012
Outpatient clinic posting
Well, this is second week posting in outpatient clinic. Now we are under guidance of HUSM Dietitian. We need to go to clinic before 8am and indent for diet in certain ward first before outpatient counseling in clinic.
Although it is not much different with 1st outpatient posting during 3rd year second semester, but I am still very nervous whenever it is my turn to do the counseling. I still feel like my knowledge is not enough for me to be graduated and work as a real dietitian.
The cases that has refer to diet clinic are mostly the common disease such as diabetes mellitus, gestational diabetes mellitus, hypertension, hyperlipidemia, obesity, infertility associated with obesity, chronic kidney disease, gout and failure to thrive. There may be also some rare cases like cancer, heart disease, cerebral palsy, down syndrome and etc. However, so far I only have the opportunity to counsel on HPT and HPL.
Now I notice that there is quite a number of gestational diabetes mellitus among pregnant mother. Gestational diabetes mellitus (GDM) is diabetes during pregnancy that a women never had it before.
* Refer the next entry for more detail about GDM.
Although it is not much different with 1st outpatient posting during 3rd year second semester, but I am still very nervous whenever it is my turn to do the counseling. I still feel like my knowledge is not enough for me to be graduated and work as a real dietitian.
The cases that has refer to diet clinic are mostly the common disease such as diabetes mellitus, gestational diabetes mellitus, hypertension, hyperlipidemia, obesity, infertility associated with obesity, chronic kidney disease, gout and failure to thrive. There may be also some rare cases like cancer, heart disease, cerebral palsy, down syndrome and etc. However, so far I only have the opportunity to counsel on HPT and HPL.
Now I notice that there is quite a number of gestational diabetes mellitus among pregnant mother. Gestational diabetes mellitus (GDM) is diabetes during pregnancy that a women never had it before.
* Refer the next entry for more detail about GDM.
Sunday, 21 October 2012
ICU ward
So I was attached at ICU ward for around 1 week. Hmmm...Just listen to the name ICU, sure you can imagine the environment in the ward. There is no family member allowed to stay in the ward because the patient are very susceptible to infection. There is only around 12 beds in the ward. Each nurse is responsible to 2 beds. All of the patients are just lying on bed and most of them are ventilated and sedated.
When I step into the ward. the very first impression of the ward is the machines beside each bed and the sound of the machines all the days. The patients are connected to many tubes and connected to the machines. I don't know why everytime I feel blurred when I am inside the ward. May be I feel pity to the patients and it is the first time I saw patient with many tube on their body which I can only see this scene in the movie previously.
Most of the patients require tube feeding as they may be sedated or unconscious to feed themselves. So our role in the ward is to provide appropriate formula milk for those on tube feeding and the feeding regime for each patient. Nutrition is a part of very important element for their faster recovery. Thus, I can see the importance of a dietitian in the ward.
There was once I happen to see the scenery of medical teams in rescuing a short of breath patient. They was doing intubation to her and finally she was fine. I think the doctors and nurses there must be always be ready to overcome any emergency. They would be at the first line to rescue the patient when emergency occur. Any hesitation may result in loss of a life.
However, mortality is a very common thing to happen in the ward. The patient that have been met yesterday might be passed away today. Sometime I feel pity with the patients who left the world in a younger age. But may be this is their fate, hope that they may rest in peace and reach a happier place afterwards.
Thursday, 13 September 2012
Posting at Hospital
It has been 1 week I am posting at hospital after school reopen. This is the first time I step into the ward and know what exactly a dietitian' role in the hospital. We are not treating patient like what the doctor did, we also do not take care of patient like what the nurses did, we are monitoring the patient's diet and help them to obtain the nutrients requirement as much as possible.
My first patient is a 1 year old boy. He was diagnosed with cerebral abscess due to ear infection. As the disease was affected his nervous system, he was unable to talk, eat and move. When I saw him, he was very thin, just left with skin and bone. He can able to tolerate 90cc of formula milk each time. but the next two day when I follow up his case again, I was informed that he cannot tolerate milk and even water. He has already fasting for more than 24 hour. I was worry, how can he survive his condition still not improved. However, the worry of the health care givers would never more that the patient's mother. She was so so worry when she look at her child who have nothing go into stomach for so long time. She started to purposely talk very loud to her son, asking whether he feel hungry. I know, she did it purposely to tell the nurse to give her son something to eat. This is so called the love of a mother. However, from my view of point, I feel that she is a very strong mother. Even she is so tire, so worry and so stress, she still always smile to us and to her son. Pray hard for him and hope that he will recover very soon.
My first patient is a 1 year old boy. He was diagnosed with cerebral abscess due to ear infection. As the disease was affected his nervous system, he was unable to talk, eat and move. When I saw him, he was very thin, just left with skin and bone. He can able to tolerate 90cc of formula milk each time. but the next two day when I follow up his case again, I was informed that he cannot tolerate milk and even water. He has already fasting for more than 24 hour. I was worry, how can he survive his condition still not improved. However, the worry of the health care givers would never more that the patient's mother. She was so so worry when she look at her child who have nothing go into stomach for so long time. She started to purposely talk very loud to her son, asking whether he feel hungry. I know, she did it purposely to tell the nurse to give her son something to eat. This is so called the love of a mother. However, from my view of point, I feel that she is a very strong mother. Even she is so tire, so worry and so stress, she still always smile to us and to her son. Pray hard for him and hope that he will recover very soon.
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