Behaviour Change

GESTATIONAL DIABETICS

OBJECTIVES

•Awareness generation

•Prevention of Diabetes

•Control of diabetes

•Change of food habit and treatment

WHI IS PRONE FOR GDM

•Over weight (above 60 Kg)

•Diabetes during previous pregnancy

•Family history of diabetes

•Elderly pregnancy

•Already delivered with very high or very low birth weight baby

•Premature or still birth

•Frequent abortions

•Delivered with physically challenged baby

SYMPTOMS

•Increased thrust, increased appetite,

CONSEQUENCES OF UNCONTROLLED GDM

•Abortion

•Premature delivery

•Big baby

•Asphyxia

•Still birth or infant death

•Congenital malformations

•Risk of diabetes for the child at the age of 30 increases

Risk of postnatal diabetes

WHEN TO TEST

•During AN period (for all mothers)

–16^th week

–24^th week

–32^nd week

•During PN period (only for GDM affected mother)

–Within a week after delivery

–After six months

–After one year

WHAT TEST

•Glucose Tolerance Test (GTT)

HOW TO DO THE TEST

•Pregnant mother should come to the PHC with empty stomach at 8 am

•By using semi auto analyzer or glucometer blood test to be done

•After blood test 75g glucose in 300ml water is administered

•The test repeated after two hours

JE Programme