Medical Management of Pregnancy Complicated by Diabetes / Edition 4

Medical Management of Pregnancy Complicated by Diabetes / Edition 4

by American Diabetes Association
     
 

Pregnancy complicated by diabetes is a medical challenge that can be minimized through a program of expert protocols and patient partnerships. This newly revised edition presents a complete package of these protocols that can help produce healthy infants in pregnancies complicated by type 1, type 2, and gestational diabetes.See more details below

Overview

Pregnancy complicated by diabetes is a medical challenge that can be minimized through a program of expert protocols and patient partnerships. This newly revised edition presents a complete package of these protocols that can help produce healthy infants in pregnancies complicated by type 1, type 2, and gestational diabetes.

Product Details

ISBN-13:
9781580402323
Publisher:
American Diabetes Association
Publication date:
05/14/2009
Edition description:
Fourth Edition
Pages:
182
Product dimensions:
6.00(w) x 8.90(h) x 0.50(d)

Table of Contents

A Word About This Guidexi
Contributorsxiii
Prepregnancy Counseling and Management of Women With Preexisiting Diabetes or Previous Gestational Diabetes1
Highlights2
Preexisting Diabetes4
Prepregnancy Counseling7
Prepregnancy Assessment10
Prepregnancy Management12
Previous Gestational Diabetes16
Contraception21
Highlights22
Oral Contraceptives25
Norplant System25
Barrier Methods26
Intrauterine Devices26
Rhythm27
Permanent Sterilization27
Psychological Impact of Diabetes and Pregnancy29
Highlights30
Response to Pregnancy in Women With Preexisting Diabetes33
Response to Diagnosis of Gestational Diabetes33
Long-Term Adaptation34
Personality Types and Individualizing Treatment35
Dealing With Crises36
Hospitalization36
Fetal Demise37
Birth Anomalies37
Importance of Team Approach38
Importance of Support System38
Monitoring45
Highlights46
HbA1C Measurement in Pregnancy47
Preexisting Diabetes47
Gestational Diabetes48
Self-Monitoring48
Blood Glucose48
Accuracy49
Goals51
Recording52
Urine Ketone Testing53
When to Test53
Intervention for Ketonuria53
Education53
Medical Tests to Evaluate Maternal Status54
Preexisting Diabetes54
Gestational Diabetes56
Management of Morning Sickness59
Highlights60
Dietary Remedies61
Insulin Adjustments62
Medical Management64
Nutritional Management During Pregnancy in Preexisting Diabetes67
Highlights69
Patient Responsibility70
Nutrient Needs of Pregnancy70
Protein71
Calories71
Calcium71
Iron72
Folate72
Assessing Diet and Eating Habits72
Vitamin/Mineral Supplementation73
Determining Calorie Level73
Weight Gain74
Meal Planning: Distributing Calories and Carbohydrates75
Carbohydrate75
Fine Tuning: Matching Carbohydrate to Insulin76
Developing the Meal Plan77
Fiber78
Protein78
Fat78
Record Keeping and Follow-Up80
Sodium, Caffeine, and Artificial Sweeteners80
Management of Hypoglycemia81
Postpartum Nutritional Management82
Lactation82
Fluid Requirements83
Carbohydrates and Hypoglycemia83
Maternal Supplementation84
Use of Insulin During Pregnancy in Preexisting Diabetes87
Highlights88
Metabolic Alterations During Normal Gestation89
Therapeutic Insulin Use90
Insulin Regimens90
Insulin Pumps93
Dosage Adjustment93
Preterm Delivery95
Insulin During Labor and Delivery96
Postpartum Insulin Requirements97
Breastfeeding97
Oral Hypoglycemic Agents97
Diagnostic Testing and Fetal Surveillance99
Highlights100
Diagnostic Testing With Ultrasound101
a-Fetoprotein Testing103
Genetic Testing104
Fetal Surveillance With Ultrasound105
Fetal Activity Determinations105
Antepartum Fetal Monitoring105
Amniocentesis for Fetal Lung Maturity Determination108
Timing and Mode of Delivery108
Fetal Surveillance During Labor109
Diabetic Ketoacidosis109
Preterm Labor109
Gestational Diabetes111
Highlights112
Epidemiology114
Screening115
Diagnosis117
Nutritional Management118
Goals118
Factors Affecting Blood Glucose Levels119
Dietary Guidelines121
Individualized Meal Planning123
Controversy: Calorie Restriction for Obese Patients124
Record Keeping and Follow-Up125
Postpartum126
Insulin Therapy126
Exercise as a Treatment Modality128
Obstetric Management129
Neonatal Care of Infants of Diabetic Mothers133
Highlights134
Perinatal Mortality and Morbidity135
Resuscitation136
Macrosomia, Birth Injury, and Asphyxia136
Congenital Anomalies138
Respiratory Distress139
Hypoglycemia140
Nursery Care141
Glucose Homeostasis141
Hypocalcemia and Hypomagnesemia142
Hyperbilirubinemia and Erythremia144
Long-Term Follow-Up145
Postpartum Follow-Up of Women With Gestational Diabetes151
Highlights152
Postpartum Testing and Follow-Up153
Yearly Follow-Up and Counseling156
Index159
Resources for Health Care Professionals174

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