More questions on this topic
More questions on this topic ( 78 Questions)
A nurse is caring for a pregnant woman who has gestational diabetes and is of African-Caribbean origin.
The nurse should recognize that the woman's ethnicity is associated with which of the following characteristics?
According to a systematic review of gestational diabetes mellitus (GDM) in Africa, African-Caribbean women have higher insulin resistance than other ethnic groups, which increases their risk of developing GDM.
Insulin resistance is a condition where the body does not respond well to the hormone insulin, which regulates blood sugar levels.
Lower birth weight is not associated with GDM in African-Caribbean women. In fact, some studies have found that GDM increases the risk of macrosomia (large for gestational age infants) and higher mean birth weight.
Earlier onset of diabetes is not a characteristic of African-Caribbean women with GDM.
GDM is usually diagnosed in the second or third trimester of pregnancy, regardless of ethnicity. However, women with GDM have a higher risk of developing type 2 diabetes later in life.
Faster resolution of diabetes is not a characteristic of African-Caribbean women with GDM. Most women with GDM revert to normal glucose metabolism after delivery, but some may have persistent glucose intolerance or diabetes. The risk of developing type 2 diabetes after GDM is also higher for African-Caribbean women than other ethnic groups.
The correct answer is choice A. Higher insulin resistance. According to a systematic review of gestational diabetes mellitus (GDM) in Africa, African-Caribbean women have higher insulin resistance than other ethnic groups, which increases their risk of developing GDM.
Insulin resistance is a condition where the body does not respond well to the hormone insulin, which regulates blood sugar levels.
Choice B is wrong because lower birth weight is not associated with GDM in African-Caribbean women. In fact, some studies have found that GDM increases the risk of macrosomia (large for gestational age infants) and higher mean birth weight.
Choice C is wrong because earlier onset of diabetes is not a characteristic of African-Caribbean women with GDM.
GDM is usually diagnosed in the second or third trimester of pregnancy, regardless of ethnicity. However, women with GDM have a higher risk of developing type 2 diabetes later in life.
Choice D is wrong because faster resolution of diabetes is not a characteristic of African-Caribbean women with GDM. Most women with GDM revert to normal glucose metabolism after delivery, but some may have persistent glucose intolerance or diabetes. The risk of developing type 2 diabetes after GDM is also higher for African-Caribbean women than other ethnic groups.