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This entry was posted in Cardiovascular, Cardiovascular Disease, Diabetes, Non-Communicable Disease, Pharmacology, Primary Care and tagged cardiovascular disease, clinical guidelines, diabetes, gylcemic control, HbA1c, hyperglycemia, hypoglycemia, metformin, NCDs, pharmacology, primary care. One of the areas that the Commission on the Status of Black Males (CSBM) attempts to address is the health of African American males in our community. The Community Health and Wellness Fair, took place Saturday, April 12, 2014 in the atrium of City Hall. The event included free screening and testing for blood pressure, hearing, spinal health, HIV, A1Cs (Diabetes) and carbon monoxide. The event was sponsored by the Community and Family Resources Department, the Commission on the Status of Black Males, United Way of Monroe County, Osmon Chiropractic Center and Robert Milisen Speech and Hearing Clinic. Prior events include two free health fairs which took place April 13, 2013 at the Hoosier Barber Shop and at the Neal-Marshall Black Culture Center, and three health screenings which took place in 2012.
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Diabetes mellitus, type 1 and 2 as well as gestational, is a condition where the blood glucose levels are raised because of the deficiency of insulin or the body’s impaired response to insulin.
It has been observed that there has been a rise in the incidence of gestational diabetes in accordance with the rise in type 2 diabetes over the past two decades. Unlike with type 1 and type 2 diabetes mellitus, there are usually no noticeable symptoms with gestational diabetes for most women.
Ask a Doctor Online Now!However, pregnant women should be aware of the symptoms as it may present, particularly in untreated diabetes. It is important to know that the lack of symptoms does not mean that the raised blood glucose levels will not have an effect on both mother and baby. Macrosomia – the baby grows large than normal and there are risks to baby during childbirth.

Nenonatal jaundice – abnormal yellowing of the skin and eyes in babies shortly after birth.
Once diabetes is diagnosed in pregnancy, it should be continuously monitored and this monitoring will continue even after childbirth.
Insulin: It is administered with an injection and has the same effect as insulin that is naturally produced by the body. Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. The Commission has provided or co-sponsored a number of health events at which various free health screenings have been conducted and educational information has been provided to all who have attended.
However, these may be instances where the diabetes existed prior to pregnancy and was undiagnosed. However, it often does not present with any symptoms and a pregnant women who does not undergo routine screening may not be aware of the presence of gestational diabetes. There is a disturbance in insulin secretion during pregnancy in all women but this does not explain why some women will develop gestational diabetes and others do not. As a result the blood glucose levels cannot be maintained within a normal range and gestational diabetes is diagnosed. It may be due to better diagnostic methods and widespread screening revealing the true incidence of gestational diabetes. In other words it may occur in the latter half of the second trimester or even in the third trimester.
The problem is that some of these symptoms of gestational diabetes when present is often attributed to pregnancy. Diabetic medication is usually not prescribed for every pregnant woman with gestational diabetes. A combination of a low glycemic index (GI) diet with plenty of fresh fruit, vegetables and whole grains. An exercise program suitable for pregnant women should only be commenced with a doctor’s approval.
It is still unclear whether it is always safe for pregnant women and the fetus but is sometimes used.
Insulin in pregnancy is usually reserved for severe gestational diabetes that is not responding to diet and exercise.

Nevertheless it is still considered as gestational diabetes unless it can be conclusively proven that it existed before a woman fell pregnant. There are health risks some of which can be permanent for the fetus if the glucose levels are excessively high and there is no medical intervention.
Placental hormones impair insulin response in all pregnancies particularly in the second half of the pregnancy. However, gestational diabetes also appears to be associated with similar risk factors such as obesity and family history of diabetes. Therefore routine screening is essential for all pregnant women usually around the 24th to 28th week of pregnancy and even earlier for high risk women. Diet and lifestyle modification is first advised and it is effective for most women provided that it is carried out diligently. Unlike type 1 and type 2 diabetes mellitus, gestational diabetes is not always a permanent condition. Gestational diabetes mellitus (GDM) occurs in 14% of all pregnancies in the United States and is the most common metabolic complication of pregnancy.
However, when insulin is lacking like in type 1 diabetes or the body does not respond to insulin (insulin resistance) as in type 2 and gestational diabetes then the blood glucose levels remain elevated (hyperglycemia).
Given the current obesity epidemic, this may partly explain why gestational diabetes is becoming more common.
It is unclear whether early diagnosis could at times be pre-existing diabetes mellitus even before conception. However, women who develop gestational diabetes have a 50% chances of developing type 2 diabetes up to 20 years after the diagnosis of gestational diabetes. It can be effectively managed with diet and exercise but sometimes medication including insulin injections may be necessary.

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