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Sunday, June 26, 2011

Types of Gestational Diabetes Mellitus (GDM)

Diabetes in pregnancy can be classified as Type1 and type 2 or gestational diabetes mellitus (GDM).

Type 1

  • Formerly known as juvenile-onset or insulin-dependent Diabetes Mellitus (DM)
  • Pathophysiology is absolute insulin deficiency.
  • Patients are at risk for severe hypoglycemia and DKA.
  • Increased risk for chronic microvascular disease at an early age.

Type 2

  • Formerly known as adult-onset or non insulin dependent DM.
  • Pathophysiology is tissue resistance to insulin.
  • Patients may develop hyperosmolar coma. DKA is rare.
  • Lower incidence of microvascular disease during reproductive age range

posted by dian ray at 5:32 AM

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