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Gestational type diabetes of mellitus and it´s laboratory determination
SVOBODOVÁ, Nikola
Abstract I am a medical laboratory technician working in a biochemical-immunological laboratory, and almost every week I come across the results of screening tests that reveal impaired glucose tolerance in pregnant women. Some of them are then diagnosed with gestational diabetes mellitus. The global incidence of gestational diabetes mellitus is reported to be approximately 14% of all pregnancies and usually resolves spontaneously by the end of the sixth trimester. Of course, there are also cases when the condition persists and due to long-term consequences, besides other things, the risk of developing type 2 diabetes increases. (Goldmannová, 2019) Such women continue to be treated and monitored when switching to the classic diabetes mellitus disease. In my work, I decided to provide a comprehensive overview for the medical laboratory technicians, as well as to collect data on gestational diabetes in the vicinity of Nový Bor. This work aims to create an overview of gestational diabetes and risks for mother and fetus, to describe the course of screening laboratory examination and determination of gestational diabetes mellitus on its own tested group. For the last year and a half, I have monitored the conditions of pregnant women who come to our outpatient department to undergo an oral glucose test. Before the examination, I had the patients fill out voluntary questionnaires. I created the questions based on the risk factors I was looking for, which could have influenced the course of the pregnancy or the development of gestational diabetes. After an overall evaluation of the examined results from the examination and comparison with questionnaires, I evaluated which risk factors are present in women with proven GDM to a greater extent and therefore, depending on their occurrence, could lead to the development of the disease.
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The Influence of a Lifestyle of Women with Anamnesis of Gestational Diabetes Mellitus on Manifestation of Diabetes Mellitus Type 2
Dittrichová, Jana ; Anderlová, Kateřina (advisor) ; Krejčí, Hana (referee)
1 Abstract: The present thesis is focused on a lifestyle of women with anamnesis of Gestational Diabetes and on the way in which this lifestyle influences manifestation of Type 2 Diabetes. The goal of the thesis is to describe the ways in which women with anamnesis of Gestational Diabetes in the period 1-11 years after delivery behave preventively in order that Type 2 Diabetes would not occur - to describe their diet and movement activities as well as to discover, if they have their blood sugar level checked regularly. By means of questionnaire survey, it has been discovered that women with anamnesis of Gestational Diabetes consume not-sweetened beverages, coffee, vegetable and fruits, on the other hand it would be convenient, if they would eliminate secondary processed food, red meat, sweets and fried meal and increase intake of nuts, fish and cereals. 83 % of women engage in a movement activity at least 3 times a week. 52 % had come for blood sugar level examination (oGTT) after delivery and another 12 % had their blood sugar level checked during regular medical examination. Nevertheless, many respondents are not regularly monitored anymore. Women with anamnesis of Gestational Diabetes, in the case of which blood sugar level examination (oGTT) detected Prediabetes or Type 2 Diabetes, consume too much...
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