Gestational Diabetes Mellitus (GDM)

Have you been OR are you currently pregnant?
Yes
No
Are you familiar with Gestational Diabetes?
Yes
No
Does diabetes run in your family?
Yes
No
Were you diagnosed with Gestational Diabetes?
Yes
No
Did you receive insulin or was the diet controlled?
Diet Controlled
Insulin
Were you induced because of your GDM?
Yes
No
After birth, were you diagnosed with pre-diabetes?
Yes
No
Did your providers follow you to manage your blood sugars after birth?
Yes
No
Other
Please Specify:
Do you wish that you had aftercare for your blood sugars?
Yes
No
Do you have any of the follow risk factors? Select all that apply.
Familial History
Obesity
25 or older
Previous GDM diagnosis
Ethnicity: African American, Hispanic, American Indian, Asian American, Pacific Islander
Gestational diabetes mellitus (GDM) is defined as “carbohydrate intolerance resulting in hyperglycemia of variable severity with onset or first recognition during pregnancy (WHO).
World Health Organization. Definition, Diagnosis and classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Part 1, Diagnosis and Classification of Diabetes Mellitus. Geneva, Switzerland: World Health Organization; 1999. [Google Scholar]
Gestational diabetes mellitus (GDM) is defined as “carbohydrate intolerance resulting in hyperglycemia of variable severity with onset or first recognition during pregnancy (WHO).
World Health Organization. Definition, Diagnosis and classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Part 1, Diagnosis and Classification of Diabetes Mellitus. Geneva, Switzerland: World Health Organization; 1999. [Google Scholar]
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