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Gestational Diabetes Care Guidelines

Components of Gestational Diabetes Education Consultations

NEW DIAGNOSIS OF GDM

Overview of gestational diabetes/effects on mother and child

  • Discuss blood glucose monitoring
  • Discuss proper lancet disposal
  • Discuss urine ketone testing
  • Recommend practice saline injection
  • Discuss exercise, as appropriate
  • Provide education materials as needed
  • Review (or refer to RD) MNT

Insulin Initiation

  • Discuss the need for euglycemia in pregnancy
  • Review type, action and peak of insulins
  • Emphasize non-animal (minimally antigenic) source of insulin only
  • Review injection site selection and rotation
  • Review saline injection(s)
  • Review storage of insulin
  • Review meal plan and its relationship to timing of insulin injections
  • Discuss proper syringe disposal
  • Discuss symptoms and treatment of hypoglycemia
  • Provide educational materials as needed
  • Refer to RD for more intensive MNT

Components of Postpartum Follow-up Diabetes Education

  • Review results of (or refer for) postpartum glucose tolerance test when indicated
  • Establish weight goals
  • Establish specific exercise program
  • Educate regarding increased lifetime risk for type 2, cardiovascular risk, and dislipidemia
  • Educate regarding the increasing risk of developing type 2 diabetes with each subsequent pregnancy
  • Recommend annual fasting blood glucose measurement
  • Recommend pre-pregnancy counseling/explain pregnancy complications associated with hyperglycemia
  • Provide educational materials as needed

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Page last modified: December 20, 2005

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Division of Diabetes Translation

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