Risk factors for the development of gestational diabetes mellitus

Review Stacey Crider’s chart, what risk factors for the development of gestational diabetes mellitus are noted? 7. What does Stacey Crider’s physician suspect is the cause of her poorly controlled blood glucose levels? (Hint: See the physician’s impression in her medical record.)

8. Review Stacey Crider’s admission orders and list the orders that are related to her GDM. 9. Why are most oral hypoglycemic agents avoided during the prenatal period?

10. On admission, Stacey Crider was in preterm labour. This was treated with magnesium sulphate tocolysis. She was also given a course of betamethasone. What impact can betamethasone administration have on her gestational diabetes mellitus?

11. How does Stacey Crider’s physician plan to deal with these potential medication effects?

12. Stacey Crider’s other admission diagnosis is bacterial vaginosis (BV).

What is the relationship between the BV infection and her GDM? 13. Based on the Drug Handbook, complete the table below. Type of Insulin Onset of Action Peak Duration Lispro NPH

14. Consider lispro insulin’s rapid onset of action. What else should you check before giving Stacey Crider her injection? Stacey Crider regarding GDM.