Tuesday, May 12, 2009

Diabetes during Pregnancy or Gestatonal Diabetes Mellitus (GDM)

Gestational Diabetes Mellitus (GDM) is defined as any degree of glucose intolerance which begins or is first recognized during pregnancy. The definition applies whether insulin or only diet modification is used for treatment and whether or not the condition persists after pregnancy. It does not exclude the possibility that unrecognized glucose intolerance may have antedated or begun concomitantly with the pregnancy.

The importance of proper diagnosis can be appreciated as gestational diabetes mellitus is known to cause increased foetal loss (Two to three times’ greater risk than general population) and congenital malformation like foetal macrosomy.
Further, female with GDM are at increase risk for the development of diabetes after pregnancy.
Offspring’s of female with GMD are at increase risk of obesity and diabetes.
The diagnosis of gestational diabetes mellitus is based on 100 gm glucose tolerance test. A larger than usual glucose load (75 g) is advocated as there is an increase turnover of glucose in pregnant state. Hundred grams of glucose is dissolved in 300-400 ml of water and consumed over 5 minutes.
The first criteria for diagnosis gestational diabetes mellitus were given by O’Sullivan and were based on whole blood glucose levels. However, as the levels of glucose may very in whole blood due to uptake by red blood cells, Carpenter and Coustan have given new value based on plasma glucose levels.

Criteria for diagnosis of gestational diabetes mellitus:
(Two or more of these values must be abnormal)

Oral hypoglycemic drugs are contraindicating in Gestational Diabetes Mellitus. These pregnant diabetics should be managed meticulously insulin.

Some Homeopathic Remedy for Diabetes during Pregnancy:
1. Alloxanum
2. Murex Perpurea
3. Podophyllum
4. Zincum Metallicum.

Note: Do not self medication.
Content only informational purpose.

1 comment:

  1. thanks for sharing this information. i could share this to someone i know.