Case Study 5.2 Elizabeth’s Story: Gestational Diabetes Elizabeth is a 36 year ol

Question

Case Study 5.2

Elizabeth’s Story: Gestational Diabetes

Elizabeth is a 36 year old who entered pregnancy with a BMI of 23.5 kg/m. She began receiving prenatal care at 32 weeks gestation and was screened for gestational diabetes the next day. Results of her oral glucose tolerance test revealed the following blood glucose levels:

Fasting: 90mg/dl

1 hour: 195 mg/dl

2 hour: 163 mg/dl

Elizabeth’s health care provided advised her to consume a no-sugar, low carbohydrate diet and to keep her weight gain low throughout the rest of the pregnancy. She delivered a large infant (4750 grams) at 39 weeks gestation.

Questions (answers must be at least 2-3 sentences):

1. Did Elizabeth have gestational diabetes?

2. What’s the most likely reason Elizabeth delivered an abnormally large newborn?

Explanation / Answer

Yes. MS.Elizabeth have gestational diabetes as there was no history of diabetes earlier for her. Being pregnant due to the hormones of pregnancy, she developed insulin resistance and got diabetes.

Baby gets nutrients from the maternal blood containing more glucose, fetus pancreas senses more glucose and try to produce more insulin to use that glucose resulting in more insulin levels in fetus and stored as fat deposits resulting in abnormally large new born

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