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What causes insulin resistance in second trimester of pregnancy?
Hormonal changes in the second and third trimesters result in increased maternal insulin resistance. Increased levels of hormones increase insulin resistance because they act as insulin antagonists. This serves as a glucose-sparing mechanism to ensure an adequate glucose supply to the fetus.
How many pregnancies in Danielle's gtpal are there?
Danielle's GTPAL is 5 (pregnancies counting current one)- 2 (infants born at 38 and 41 weeks) - 1 (twins born at 35 weeks) - 1 (spontaneous abortion at 10 weeks) - 4 (each twin and the 2 singletons, all living). Which information does the nurse recognize in the client's history to support a diagnosis of gestational diabetes?
What are the risk factors for gestational diabetes?
Other risk factors include maternal age older than 25, obesity, history of unexplained stillborn, family history of Type 1 diabetes in a first-degree relative, strong family history of Type 2 diabetes, and history of gestational diabetes in a previous pregnancy.
Last Update: Oct 2021
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