1. Gracie Hobbs, Rose Millay, Annie Miller
Case Study #1 Jessica
Gracie Hobbs, Rose Millay, Annie Miller

2. Jessica’s story
Case Study 1: A 40-year-old, overweight, pregnant woman comes in for her routine appointment. She is 28 weeks pregnant, complaining that she is constantly thirsty and saying that she spends all of her time running to the bathroom. She has been feeling more lethargic than normal lately and she has lost some weight. No abnormal cells were found in her urine sample.

3. Urinalysis data Control Case study 1 Color Yellow Dark Yellow Clarity
Very Clear
Clear pH 5
Specific Gavity
1.000
1.01
Protein -
None
Glucose
<2,000
Ketones
Erythrocytes
Not present
Leukocytes
Abnormal values
High SG and Glucose

4. 1. How we used this info
Glucoes and high specific gravity in her urine
Always thirsty, but frequent need to use the restroom
28 weeks pregnant
This disease relates to her symptoms because when insulin won’t fit into glucose receptors, it will back up into the urine and be secreted.

5. 2. Symptoms of gestational diabetes
While many woman will not have any noticeable symptoms several symptoms are:
Blurred vision
Tingling or numbness in the hands and/or feet
Excessive thirst
Frequent urination
Sores that heal slowly
Excess fatigue
Weight Loss/ Gain

6. 3. What about the rest of the body?
Gestational diabetes can cause the baby to have excess birth weight because they baby’s pancreas recongnizes the extra glucose and makes extra insulin
Raises your risk of high blood pressure
More likely to develop type 2 diabetes

7. 4. Further testing
Glucose Challenge Test- drink syrup and wait about an hour. Measure insulin production
Glucose Tolerance Test- fast for 8 or more hours and then have blood sugar levels measured

8. 5. Treatments for gestational diabetes
Eating balanced meals. 
Getting regular exercise. 
Checking blood sugar levels.
Monitoring fetal growth and well-being.
Getting regular medical checkups.
Taking diabetes medicine and insulin shots. 
After Delivery
For the first few hours, your blood sugar level may be tested every hour. Usually blood sugar levels quickly return to normal.
Your baby's blood sugar level will also be watched. If your blood sugar levels were high during pregnancy, your baby's body will make extra insulin for several hours after birth. This extra insulin may cause your baby's blood sugar to drop too low (hypoglycemia). If your baby's blood sugar level drops too low, he or she may need extra sugar, such as a sugar water drink or glucose given intravenously.
Your baby's blood may also be checked for low calcium, highbilirubin, and extra red blood cells.

9. 6. Diagnoses considered
Urinary tract/bladder infection- the elevated levels of Specific Gravity and constant peeing
Kidney disease- high levels of glucose in the urine and feeling lethargic

10. Sources http://www.thebump.com/a/gestational-diabetes