GESTATIONAL

DIABETES
MELLITUS
(GDM)
CASE STUDY
PATIENT PROFILE
NAME: Patient Y
AGE: 37 years old
BIRTHDAY: July 26, 1984
CIVIL STATUS: Married
NATIONALITY: Filipino
RELIGION: Roman Catholic
ADDRESS: Brgy. Liwanag Tumauini, Isabela
OB SCORE: G4P3A0 12 weeks pregnant, 1 vaginal delivery and 2 previous
CS
WEIGHT: 48kg
OCCUPATION: Housewife
SOCIAL LIFE
Patient Y is staying at home
and doing nothing, she is just
eating a lot of food at a very
satisfying that she forget to
exercise
MEDICAL
HISTORY

History of
Hypertension
FAMILY HISTORY
PATRICAL:
Type 2 Diabetes

MATRICAL:
Hypertension
HISTORY OF PRESENT ILLNESS
OCTOBER 06, 2020
Patient Y is 12 weeks pregnant
and was admitted to provincial
Hospital of Saint Luke because of
feeling sick, nausea and increased
thirst.
CLINICAL MANIFESTATION
NOVEMBER 10, 2020 at 10:00
am. Patient Y was admitted to
the Regional Hospital of Saint
Luke because of her known
case of gestational diabetes
mellitus.

LAB FINDINGS:
Upon Examination:
Total cholesterol is 128mg/dl
Blood pressure is 118/70
And the total of her fasting plasma glucose
is 104.4 mg/dl
MEDICATION
Insulin Injections
Metformin
SUBJECTIVE Hyperglycemia including:
Hot and dry, sugar high
DATA
Hyperglycemia: BG >180mg/dl
Polydipsia Hypoglycemia including the:
Polyphagia Cold, sweat, iriitability and
Polyuria tachycardia
Blurred vission
Dry mouth
Increased tiredness
Leg pain OBJECTIVE
Nausea/ vomiting
Confusion
Weakness DATA
Nervousness/anxiety
Hungry
Headaches
TYPES OF DIABETES MELLITUS
Type 1 diabetes is a condition in which your
immune system destroys insulin-making cells in your
pancreas. These are called beta cells. The condition
is usually diagnosed in children and young people, so
it used to be called juvenile diabetes.
 Type 2 Diabetes
The most common form of diabetes is type 2. Type 2 is most often
diagnosed after the age of 45, and is sometimes called adult-onset
diabetes. Type 2 diabetics can usually produce insulin, but do not
use it efficiently. These diabetics can sometimes control their
diabetes by diet and exercise, but not always. Some type 2 diabetics
need medicine to control their blood glucose levels despite their
change in lifestyle.
DEFINITION OF THE DISEASE
Gestational Diabetes Mellitus (GDM) is
defined as any degree of glucose
intolerance with onset or first recognition
during pregnancy.
A condition in which a hormone made by
the placenta prevents the body from using
insulin effectively.
RISK FACTORS
MOMMA
M-maternal age
O- overweight or obese
M-macrosomia
M-multiple pregnancies
A-a history
 How is gestational diabetes diagnosed?
Your healthcare provider will test your blood sugar during pregnancy. The
test may have two parts:

GLUCOSE CHALLENGE TEST: You drink a sweet liquid. After about an

hour, you’ll have a blood test to check your blood sugar level. If your blood
sugar level is high, your healthcare provider will do a glucose tolerance test.
GLUCOSE TOLERANCE TEST: An oral glucose tolerance test. Fasting
(don’t eat for eight hours) before the tolerance test. Your healthcare provider
draws your blood before and after you drink a sweet liquid. The tolerance test
can confirm a diagnosis of gestational diabetes.
—
Complications that may affect your baby if you have gestational
diabetes, your baby may be at increased of:
—Gestational diabetes may also increase your risk of:
 PATHOPHYSIOLOGY
Glucose is a teratogen at high levels
Crosses placenta readily while insulin cannot
Insulin resistance occurs because hormonal changes
associated with pregnancy partially block the effects of
insulin
Insulin resistance causes glucose to be shunted from
mother to the fetus to facilitate fetal growth and
development.
MIDWIFERY
CARE PLAN
INDEPENDENT
Recommended diet
Exercise
Insulin Injection
Metformin
DEPENDENT
 VALDEZ, JOYCE ANN
YADAO, KYLIE
DEL ROSARIO, CHRIZZIA