Sunday, 25 November 2012

Gestational diabetes mellitus (GDM)

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.


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.