Gestational Diabetes – Overview, signs and symptoms, pathophysiology, diagnosis, treatment

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(USMLE topics) What is Gestational Diabetes? Pathology, Risk factors, Complications and Treatments. This video is available for instant download licensing here :
©Alila Medical Media. All rights reserved.
Voice by: Ashley Fleming
All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
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Gestational diabetes is a transient form of diabetes mellitus some women may acquire during pregnancy. Diabetes refers to high levels of blood glucose, commonly known as blood sugar. Glucose is the major energy source of the body. It comes from digestion of carbohydrates and is carried by the bloodstream to the body’s cells. But glucose cannot enter the cells on its own; to do so, it requires assistance from a hormone produced by the pancreas called insulin. Insulin induces the cells to take up glucose, thereby removing it from the blood. Diabetes happens when insulin is either deficient or not used effectively. Without insulin, glucose cannot enter the cells; it stays in the blood, causing high blood sugar levels.
During pregnancy, a temporary organ develops to connect the mother and the fetus, called the placenta. The placenta supplies the fetus with nutrients and oxygen, as well as produces a number of hormones that work to maintain pregnancy. Some of these hormones impair the action of insulin, making it less effective. This insulin-counteracting effect usually begins at about 20 to 24 weeks of pregnancy. The effect intensifies as the placenta grows larger, and becomes most prominent in the last couple of months. Usually, the pancreas is able to adjust by producing more insulin, but in some cases, the amount of placental hormones may become too overwhelming for the pancreas to compensate, and gestational diabetes results.
Any woman can develop gestational diabetes, but those who are overweight or have family or personal history of diabetes or prediabetes are at higher risks. Other risk factors include age, and having previously given birth to large babies.
While gestational diabetes usually resolves on its own after delivery, complications may arise if the condition is severe and/or poorly managed.
Because of the constant high glucose levels in the mother’s blood, the fetus may receive too much nutrients and grow too large, complicating the birth process, and a C-section may be needed for delivery.
High levels of glucose also stimulate the baby’s pancreas to produce more insulin than usual. Shortly after delivery, as the baby continues to have high insulin levels but no longer receives sugar from the mother, the baby’s blood sugar levels can drop suddenly and become exceedingly low, causing seizures. The newborn’s blood sugar level must therefore be monitored and corrected with prompt feeding, or if necessary, with intravenous glucose.
High blood sugar may also increase the mother’s blood pressure and risks of preterm birth. Future diabetes in both mother and child is also more likely to occur.
Gestational diabetes can be successfully managed, or even prevented, with healthy diets, physical exercise, and by keeping a healthy weight before and during pregnancy. In some cases, however, medication or insulin injection may be needed.

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  19. Alila Medical Media

    If this video is helpful to you, please consider supporting our next projects. As a token of our appreciation, we also offer early access to our videos and free image downloads in return, please check us out here:

  20. Karisma King

    I remember when this doctor told me I wouldnt have gestational diabites if I was eating healthy. I was like wth I do eat healthy. As this video explains sometimes shit happens, such as not producing insulin to absorb glucose.

  21. Anh Dũng Lê

    Some segments in the video are stamped not adjacent to each other

  22. Mister Jay

    If I got diabetes? They got deadabeties

  23. Mia jones

    I was very tired pricking my fingers almost 5-6 times checking sugars, but very recent my doctor introduced me to blucon nightrider which is a device that sits on freestyle sensor. After putting this i am so relaxed and my levels are very much in control without any scanning and pricking

  24. Ethan Dsouza

    My wife has just been diagnosed with GDM and her endo has asked her to be on insulin as her levels are way too high. we have kept her on continous monitoring with blucon nightrider used with freestyle libre sensor and this has helped her to so far control her levels very well.

  25. brittany smith

    Just got diagnosed with gestational diabetes. My heart dropped when you presented the list of risks. I’m going to do my very best to manage my blood sugar. Awaiting for my dietician to give me a call for my first appointment.

  26. Bernadette Malfoi

    So non-white are the only people who don’t get diabetes?

  27. Mona Mohsen

    Great work we need videos discussing idm

  28. Elese Clarke

    Slim women have diabetes too i hate they make out being overweight is the main cause

  29. Gokila G

    Thank you for the information. It's so helpful.
    Women with any of the following characteristics are at increased risk of being diagnosed with gestational diabetes, compared to women without any of these characteristics:
    – Family history of diabetes
    – History of unexplained prenatal loss [death of baby from 7 months of pregnancy to few days after birth
    – History of having given birth previously to a very large infant, a stillborn child, or a child with a birth defect
    – Obesity or overweight
    For more details about Gestational Diabetes Visit: @t

  30. Jaya Priya

    Konjam Tamil irundha nalla irukkum

  31. oopalonga

    my favorite thing about gestational diabetes is their arbitrary sugar test. take my wife for instance–doesn't consume any sugar whatsoever (except what is naturally contained in fruit, vegetables, etc.)–and then they have her drink ~8-16oz of liquid containing ~60 grams of probably some sort of corn-based sugar, and then, when her blood glucose spikes above 150 after an hour or so, are surprised and say she's borderline gestational diabetes.

    its as if they expect an otherwise sugar-naive body to magically adapt to an overload of glucose–an overload of glucose my wife wouldn't remotely come close to consuming on her vegan/raw diet. shit's a joke.

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