Case study on diabetes in pregnancy

New study shows Tdap vaccination during pregnancy can prevent whooping cough in babies CDC Press Release Less than half of pregnant women in the United States take advantage of vaccination A new CDC study published today in Clinical Infectious Diseases reported that vaccination with whooping cough vaccine, Tdap, during the third trimester of pregnancy prevented more than three out of four 78 percent cases of whooping cough also known as pertussis in babies younger than two months. However, only 49 percent of pregnant women who delivered between fall and spring received the vaccine.

Case study on diabetes in pregnancy

Her past medical history included allergic rhinitis and acne vulgaris; she had no history of polycystic ovarian syndrome, impaired glucose tolerance, or impaired fasting glucose.

World Diabetes Day 2018: Family and diabetes

She also had no complaints of hirsutism, prior menstrual irregularity, or weight gain. Her family history was notable for diabetes in both parents.

Case study on diabetes in pregnancy

Her prepregnancy BMI was She was diagnosed with GDM and started on nutritional therapy and glyburide once daily. At the time of initial consultation with endocrinology, she was at 23 weeks gestational age.

She had continued polyuria and polydipsia. Exam revealed a gravid young woman with stable vital signs. She had normal thyroid and cardiac exams and no acanthosis nigricans.

Because of her young age, relatively low BMI, and lack of stigmata of insulin resistance, labs were sent to look for evidence of autoimmune diabetes. Laboratory data included an A1C of 6. Because her diabetes was not adequately controlled with glyburide, it was discontinued at the first endocrinology visit, and she was started on an insulin regimen of glargine and aspart with carbohydrate counting for her mealtime doses.

The rest of the pregnancy was complicated by poor adherence, difficulty with carbohydrate counting, and continued hyperglycemia, with occasional hypoglycemia. Her regimen was adjusted several times.

She delivered a healthy 10 lb, 3 oz infant. She had also developed pregnancy-induced hypertension. She had stopped insulin therapy but continued to have nocturia.

Insulin antibodies were not checked. She was diagnosed with type 1 diabetes and started back on intensive insulin therapy. On repeat labs, C-peptide was 0. Insulin doses were increased to improve her glycemic control; however, adherence remained a problem.

Although 2-week follow-up was scheduled, the patient did not keep this appointment and presented to the hospital with altered mentation in diabetic ketoacidosis within a month.

What clinical features are suggestive of type 1 diabetes or latent autoimmune diabetes in adults LADA? What antibodies should be tested when autoimmune diabetes is suspected? Thus, GDM results from a combination of increased resistance and lack of sufficient compensatory insulin increase, leading to relative insulin deficiency.

Some patients with GDM may still have relatively normal insulin resistance in the nonpregnant state. Other patients who are diagnosed with GDM may also have underlying impaired glucose tolerance that is exacerbated by pregnancy.A Case Control Study of Diabetes During Pregnancy and Low Milk Supply.

Riddle SW(1), Nommsen-Rivers LA(2).

Case study on diabetes in pregnancy

Author information: (1)1 Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Table 1. Coffee and Cancer Risk: Meta-Analyses of Observational Studies; Type of Cancer Type of Observational Studies Relative Risk [RR] or Odds Ratio [OR] # (95% Confidence Interval) Relative Risk [RR] or Odds Ratio [OR] in Subgroup Analyses (e.g., by study types).

Introduction. This chapter discusses pregnancy in both pre-existing diabetes (type 1 and type 2 diabetes diagnosed prior to pregnancy), overt diabetes diagnosed early in pregnancy and gestational diabetes (GDM or glucose intolerance first recognized in pregnancy). Case Details. An 18 –year- old female reported to the physician for consultation. She complained of generalized weakness, lethargy and inability to do the routine work from the previous few months. Cochrane works collaboratively with contributors around the world to produce authoritative, relevant, and reliable evidence, in the form of Cochrane Reviews.

Despite the increasing prevalence of type 2 diabetes in youth, there are few data to guide treatment. We compared the efficacy of three treatment regimens to achieve durable glycemic control in.

Stress exposure during pregnancy observed in mothers of children with autism More research needed to understand gene-stress interaction Date: June 7, C.M.

is a year-old Spanish-speaking Mexican-American woman with a 3-year history of type 2 diabetes. She was seen in her primary physician’s office because of a missed menstrual period; a pregnancy test was positive.

Search our Plain Language Summaries of health evidence:

Her past obstetrical history included five vaginal deliveries and six miscarriages. All of her previous pregnancies occurred . Get the latest health news, diet & fitness information, medical research, health care trends and health issues that affect you and your family on

Clinical Studies and Case Reports