H:\Capp Diabetes In Pregnancy 04 08 3 With Monitoring[1]

DIABETES IN PREGNANCY Peggy Foster, RN, MSN April, 2008

Incidence of Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Type I Diabetes ,[object Object],[object Object]

Type II Diabetes ,[object Object],[object Object]

SYMPTOMS OF DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSIS OF DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSIS (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Blood Sugar affected by: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COMPLICATIONS OF DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CARBOHYDRATE COUNTING ,[object Object],[object Object]

BASAL-BOLUS INSULIN THERAPY ,[object Object],[object Object]

BASAL-BOLUS INSULIN ,[object Object],[object Object],[object Object]

MATERNAL COMPLICATIONS IF UNTREATED ,[object Object],[object Object],[object Object],[object Object]

FETAL OUTCOMES IF Untreated ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PATHOPHYSIOLOGY—NORMAL PREGNANCY First Trimester ,[object Object],[object Object],[object Object],[object Object]

PATHOPHYSIOLOGY 2 nd and 3 rd Trimester—Diabetogenic State of Normal Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pathophysiology cont’d ,[object Object]

FETAL RESPONSE ,[object Object],[object Object]

Complications of FETAL MACROSOMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PP Complications—Fetal Macrosomia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GESTATIONAL DIABETES ,[object Object],[object Object]

GDM Screening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GDM Screening (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Target Glucose Levels to Minimize Macrosomia ,[object Object],[object Object],[object Object],[object Object]

Total Calories in the Euglycemic Diet 40 % CHO 40% Fat and 20% Protein ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIABETIC MEDICATIONS ,[object Object],[object Object],[object Object]

INSULIN PUMPS ,[object Object],[object Object],[object Object]

IDEAL PREGNANCY TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diabetic Care in Hospital ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diabetic Keto-Acidosis in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contributing Factors to DKA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Signs & Symptoms’s DKA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TREATMENT GOALS DKA ,[object Object],[object Object],[object Object],[object Object]

DKA Rx in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What’s in our future--NOW ?? ,[object Object],[object Object],[object Object]

H:\Capp Diabetes In Pregnancy 04 08 3 With Monitoring[1]

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H:\Capp Diabetes In Pregnancy 04 08 3 With Monitoring[1]