Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective

Diane C Berry,1 Quinetta B Johnson,2,3 Alison M Stuebe2,3 1The University of North Carolina School of Nursing, 2Women's Primary Health Care, The University of North Carolina School of Medicine, Division of Maternal Fetal Medicine, 3The University of North Carolina Gillings School of Global P...

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Autores principales:	Berry DC, Johnson QB, Stuebe AM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/5ae165a9c5864020b8438ae918283026
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spelling	oai:doaj.org-article:5ae165a9c5864020b8438ae9182830262021-12-02T00:27:13ZMonitoring and managing mothers with gestational diabetes mellitus: a nursing perspective2230-522Xhttps://doaj.org/article/5ae165a9c5864020b8438ae9182830262015-10-01T00:00:00Zhttps://www.dovepress.com/monitoring-and-managing-mothers-with-gestational-diabetes-mellitus-a-n-peer-reviewed-article-NRRhttps://doaj.org/toc/2230-522XDiane C Berry,1 Quinetta B Johnson,2,3 Alison M Stuebe2,3 1The University of North Carolina School of Nursing, 2Women's Primary Health Care, The University of North Carolina School of Medicine, Division of Maternal Fetal Medicine, 3The University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA Abstract: Women diagnosed with gestational diabetes mellitus (GDM) must work in partnership with their health care team to improve both maternal and fetal outcomes. This team may include physicians, midwives, nurse practitioners, physician assistants, registered nurses, certified diabetes educators, and registered dietitians. Management should include medical nutrition therapy, self-monitoring of blood glucose with tight control, and exercise to prevent postprandial hyperglycemia. Approximately 80% of women diagnosed with GDM are well controlled with medical nutrition therapy, self-monitoring of blood glucose, and exercise; however, approximately 20% require medication to bring their blood glucose levels under control during pregnancy. The risk of developing type 2 diabetes mellitus decreases dramatically for women who engage in interventions to lose weight postpartum, improve their nutrition and increase their physical activity. Therefore, postpartum women with GDM should be retested and reclassified at 6 weeks postpartum and strongly encouraged to lose weight through proper nutrition and exercise. Keywords: gestational diabetes mellitus, medical nutrition therapy, self-monitoring of blood glucose, exercise, medication, type 2 diabetesBerry DCJohnson QBStuebe AMDove Medical PressarticleNursingRT1-120ENNursing: Research and Reviews, Vol 2015, Iss default, Pp 91-97 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Berry DC Johnson QB Stuebe AM Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
description	Diane C Berry,1 Quinetta B Johnson,2,3 Alison M Stuebe2,3 1The University of North Carolina School of Nursing, 2Women's Primary Health Care, The University of North Carolina School of Medicine, Division of Maternal Fetal Medicine, 3The University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA Abstract: Women diagnosed with gestational diabetes mellitus (GDM) must work in partnership with their health care team to improve both maternal and fetal outcomes. This team may include physicians, midwives, nurse practitioners, physician assistants, registered nurses, certified diabetes educators, and registered dietitians. Management should include medical nutrition therapy, self-monitoring of blood glucose with tight control, and exercise to prevent postprandial hyperglycemia. Approximately 80% of women diagnosed with GDM are well controlled with medical nutrition therapy, self-monitoring of blood glucose, and exercise; however, approximately 20% require medication to bring their blood glucose levels under control during pregnancy. The risk of developing type 2 diabetes mellitus decreases dramatically for women who engage in interventions to lose weight postpartum, improve their nutrition and increase their physical activity. Therefore, postpartum women with GDM should be retested and reclassified at 6 weeks postpartum and strongly encouraged to lose weight through proper nutrition and exercise. Keywords: gestational diabetes mellitus, medical nutrition therapy, self-monitoring of blood glucose, exercise, medication, type 2 diabetes
format	article
author	Berry DC Johnson QB Stuebe AM
author_facet	Berry DC Johnson QB Stuebe AM
author_sort	Berry DC
title	Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
title_short	Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
title_full	Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
title_fullStr	Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
title_full_unstemmed	Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
title_sort	monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/5ae165a9c5864020b8438ae918283026
work_keys_str_mv	AT berrydc monitoringandmanagingmotherswithgestationaldiabetesmellitusanursingperspective AT johnsonqb monitoringandmanagingmotherswithgestationaldiabetesmellitusanursingperspective AT stuebeam monitoringandmanagingmotherswithgestationaldiabetesmellitusanursingperspective
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Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective

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