South
Dakota
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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Contact Us:
- CDC Diabetes Public Inquiries
- 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348
8am-8pm ET
Monday-Friday
Closed Holidays - cdcinfo@cdc.gov
