Many people still asking about a basic question that is “what is gestational diabetes”.Gestational diabetes is a type of diabetes mellitus that develops only during pregnancy and usually disappears upon delivery, but increases the risk of the mother will develop diabetes later. Every pregnant woman is certainly looking forward to the baby’s presence.
During pregnancy, every woman would keep her health in order to obtain good health for themselves and their baby’s candidate. However, things do not always go smoothly in accordance with our wishes. Pregnancy can be normal, but can also be accompanied disease. One example that we will discuss here is the diabetes that occurs during pregnancy.
What Is Gestational DiabetesComes From
What is gestational diabetescomes from? Diabetes mellitus is a disease that is already familiar to the public. Diabetes mellitus is a condition in which high blood sugar levels (hyperglycemia) that are accompanied by a variety of chronic metabolic disorders due to hormonal disorders.
Diabetes mellitus in pregnancy is not uncommon. In gestational diabetes mellitus physiological changes, also changes in the number or function of abnormal insulin. Changes also occur to the kinetics and the effects of insulin resistance resulting composition in maternal plasma source low-energy (high blood sugar levels and insulin levels remain high).
Insulin resistance usually begins in mid-pregnancy (20-24 weeks gestation). Facilitated diffusion through membranes in the placenta, the fetal circulation also occur abnormal composition of energy sources that may lead to various complications. Moreover, it also happens that causes fetalhyperinsulinemiametabolic disorders.
What Is Gestational DiabetesFactor, Diagnose and Complication?
What is gestational diabetesfactor? Diabetes mellitus can be caused by: the destruction of pancreatic beta cells associated immune response, the destruction of pancreatic beta cells in idiopathic, insulin resistance, genetic mutations in pancreatic beta cell function, disease of the pancreas (pancreatitis, cystic fibrosis), infections (cytomegalovirus, coxsackievirus, congenital rubella), and drugs.
Factors that may affect gestational diabetes mellitus are: familyhistory of diabetes mellitus, women older than 35 years old, obese women, no history of ever having children that are large, stillbirth, or infants born with disabilities there is a history of urinary tract infections during pregnant.
What is gestational diabetesdiagnose and complication? Consensus Perkeni 1997 recommends doing a filter or screening at the first antenatal meeting. If the result is positive, it can be concluded occur gestational diabetes mellitus. But if the result is negative, then it is advisable to test replicates at 26-28 weeks of gestation. Assessed the effectiveness of the test, the highest positive results will be obtained in 26-28 weeks of pregnancy.
There are also complications that can occur in gestational diabetes mellitus is a complication of maternal (mother): urinary tract infections, hydramnios, chronic hypertension, preeclampsia, maternal mortality; Complications of fetal (fetal): spontaneous abortion, congenital abnormalities, placental insufficiency, macrosomia, intrauterine death; Neonatal complications (infants aged less than 30 days): Prematurity, intrauterine death, neonatal death, birth trauma, hypoglycemia, hypomagnesaemia, hypocalcaemia, hiperbilirubinemi, respiratory distress syndrome, polycythemia, renal vein thrombosis; And complications of children: Impaired growth and development, intellectual, obesity, diabetes mellitus itself up.