Diabetes in pregnancy
|
|
- Gilbert Gibson
- 6 years ago
- Views:
Transcription
1 Diabetes in pregnancy Patient information This leaflet provides information about gestational diabetes during pregnancy and delivery. Sometimes women who are not known to have diabetes develop it during pregnancy. This is called gestational diabetes. It usually occurs after the 13th week of pregnancy and goes away after birth. Women with gestational diabetes have too much glucose (a type of sugar) in the blood which can lead to some complications in pregnancy. How common is gestational diabetes? Diabetes developing in pregnancy is very common affecting up to 18 in 100 pregnant women. Who is at risk of developing gestational diabetes? These factors put a woman at higher risk of developing gestational diabetes: being overweight with BMI (body mass index) 30 or higher twin pregnancy advanced maternal age - older than 35 years of age a family history of diabetes ethnicity, particularly if you are from a South Asian, Black Caribbean or Middle Eastern background having had a large baby before (over 4.5kg/9Ibs) polycystic ovary syndrome (PCOS) having had gestational diabetes before. 1
2 How will I be checked for diabetes? We check all pregnant women for diabetes. If you have any of the above risk factors, we will check your blood glucose every time we see you in pregnancy. If your blood glucose starts to go up, we will then arrange a special test called glucose tolerance test. This test is often used to diagnose gestational diabetes. It involves a blood test before eating anything in the morning (fasting); then again two hours after glucose drink. We also sometimes do this test when we suspect you may be carrying a big baby or if ultrasound scan shows a lot of water around your baby. If you have had gestational diabetes before we will recommend for you to monitor your glucose at home a few weeks earlier than you developed it last time. How can gestational diabetes or preexisting diabetes affect my baby? A good number of women with diabetes have uncomplicated pregnancies. Occasionally it causes problems. It is therefore important to recognise it and to control the level of glucose in the blood. Pregnancy As you share a blood supply with your baby through the placenta, when your blood glucose is higher than normal, your baby also receives higher amounts of glucose. Storing this extra energy causes your baby to grow large and weak (macrosomia). There may be a lot of water around the baby (polyhydramnios). This increases the risk of premature labour. You also have an increased risk of developing pre-eclampsia. 2
3 Delivery Large babies have more problems during delivery including shoulder dystocia. Shoulder dystocia is when the baby s head has been born but one of the shoulders becomes stuck behind the mother s pubic bone, delaying the birth of the baby s body. If this happens extra help is needed to release the baby s shoulders. This can occur in 8-10% of pregnancies complicated by diabetes. In the great majority of cases the baby will be born promptly and safely. Shoulder dystocia is an emergency and therefore when it does occur, speed is of the essence. The baby s shoulder needs to be released quickly so that that the baby s body can be born and he or she can start breathing air into the lungs. Your midwife will press the emergency bell to summon the other members of the team which include midwives, obstetricians and a doctor for your baby. It is important to remember that obstetricians and midwives who attend the birth are trained in how to deal with shoulder dystocia. About one in ten babies will have some stretching of the nerves in the neck which may cause loss of movement to the arm. It is usually temporary and movement will return within hours or days. Permanent damage is rare. Even with the best care, in a few cases a baby can suffer damage if he or she did not get enough oxygen because delivery was delayed due to shoulder dystocia. Mothers are also at risk of having a tear involving the back passage (third degree/ fourth degree tear). This will require repair in theatre and majority of women heal well after this. More women with diabetes have a caesarean section than the average population. This may be a planned caesarean where the 3
4 decision is made with you in clinic or an emergency when the need arises in labour. Stillbirths are rare but more common in pregnancies complicated by poorly controlled gestational diabetes, particularly later in the pregnancy; induction of labour/planned caesarean therefore will be discussed with you. Just after birth, your baby may have low blood glucose levels (called hypoglycaemia). This can happen if your baby has been making extra insulin to cope with the excess sugar from your blood. We will check for this and treat it if your baby s sugar is low. How can gestational diabetes affect me? It can increase your chance of some problems during pregnancy or later in life, such as: pre-eclampsia a condition which causes high blood pressure in pregnant women premature (early) birth induced labour having a caesarean section type 2 diabetes when you are older developing gestational diabetes in future pregnancies. How is gestational diabetes managed? Once diagnosed, you will be referred to a specialist clinic for the rest of your pregnancy. The risks to you and your baby can be lowered with good control of your condition with the help of the team of obstetricians, diabetic doctors, diabetic nurses, and dieticians. The specialist clinic takes place on Wednesday afternoons. 4
5 Most women in this clinic will see different professionals and therefore each visit can take a while. We advise that you come with a healthy snack and a book. You may also be asked to have more scans of your baby. The main way to treat gestational diabetes is through diet and increasing your activity level. Your first step will be a referral to a dietician who will talk to you about eating well. You will then be taught how to check your blood glucose at regular intervals. If your blood glucose cannot be controlled by diet and increasing your activity level, you may need to take diabetes medication and /or have insulin injections to control your blood sugar. Testing your blood sugar You will need to check your blood glucose several times a day and will be shown how to do this with a finger prick blood glucose meter. Keeping your blood glucose in the target range will help reduce the risks that are linked with having gestational diabetes. Monitoring your blood pressure As you are at increased risk of developing high blood pressure problems, we shall carefully monitor your blood pressure more frequently. Common questions about gestational diabetes How does gestational diabetes develop? During pregnancy the body makes high levels of pregnancy hormones and in some women these can reduce the effectiveness of insulin. This is called insulin resistance. If the women's body cannot make enough insulin, or cannot use the body's insulin properly, her blood glucose rises resulting in gestational diabetes. 5
6 How will I have my baby? Ideally you should have your baby between 37 weeks and 40 weeks depending on your individual circumstance. On occasion we recommend delivery earlier than 37 weeks. If your scans show that the baby is big, we will discuss the risks and benefits of vaginal birth, induced labour and caesarean section with you. When in labour, we will recommend delivery on the labour ward and for the baby s heart beat to be continuously monitored. We will monitor your blood glucose as well. What happens after birth? In most women blood glucose returns to normal after the baby is born. Please talk to your diabetes care team about having your blood glucose checked three months after the birth of your baby to make sure that the diabetes has gone away. Will I get gestational diabetes if I become pregnant again? You are more likely to develop it again if you have had it before; but if you are overweight and lose weight, you can reduce your risk of developing it next time. Will I get diabetes later in life? Having had gestational diabetes does put you at a higher risk of developing type 2 diabetes later in your life. Keeping trim and doing moderate regular exercise reduces your risks. Having a diabetes check-up from your GP every year is sensible too. Will my baby have diabetes? If you had gestational diabetes, your baby will not have a higher risk of developing diabetes in childhood than any other baby. However, your baby has a higher risk of developing diabetes and obesity later in life. If you are worried about this, talk to your GP or health visitor. 6
7 Where can I get more information You can contact our maternity helpline service on between 10am and 6pm or you can us at obstetricquery@homerton.nhs.uk You can also contact the diabetes clinical nurse specialist on (direct dial) or (ask for bleep no: 065) or preconception@homerton.nhs.uk Diabetes UK: The Diabetes UK website has a forum where you can discuss the condition with other women info@diabetes.org.uk The Royal College of Gynaecologists (RCOG): Patient Advice and Liaison Service (PALS) PALS can provide information and support to patients and carers and will listen to your concerns, suggestion or queries. The service is available between 9am and 5pm PALS@homerton.nhs.uk For information on the references used to produce this leaflet, please ring , textphone: or patientinformation@homerton.nhs.uk If you require this information in plain text, audio or Braille please contact the Patient Information Team on , text: or patientinformation@homerton.nhs.uk Produced by: Maternity and Obstetrics, SWSH Homerton University Hospital NHS Foundation Trust Homerton Row, London E9 6SR
8 Date produced: February 2017 V1 Review date: February
Gestational diabetes
Southend University Hospital NHS Foundation Trust Patient Information Service Women and children s business unit Gestational diabetes What is gestational diabetes? Gestational diabetes mellitus (GDM) is
More informationGestational diabetes. Maternity Department Patient Information Leaflet
Gestational diabetes Maternity Department Patient Information Leaflet Introduction This leaflet is for women who have gestational diabetes. It contains information on what the condition is, how it is treated
More informationGDM. Gestational Diabetes Mellitus. Diabetes Clinic, Women s Health Auckland Hospital
GDM Gestational Diabetes Mellitus Diabetes Clinic, Women s Health Auckland Hospital Welcome Haere Mai Respect Manaaki Together Tūhono Aim High Angamua Gestational Diabetes If you have been diagnosed with
More informationLaser ablative treatment - local anaesthetic
Laser ablative treatment - local anaesthetic Incorporating hospital and community health services, teaching and research The Homerton Anal Neoplasia Service is a referral centre that provides a screening
More informationDiabetes and pregnancy - Antenatal care
Diabetes and pregnancy - Antenatal care Information for you Follow us on Twitter @NHSaaa Find us on Facebook at www.facebook.com/nhsaaa Visit our website: www.nhsaaa.net All our publications are available
More informationPerineal Tears. Obstetrics & Gynaecology Women & Children s Group
Perineal Tears Obstetrics & Gynaecology Women & Children s Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that
More informationGestational Diabetes
Gestational Diabetes GESTATIONAL DIABETES What is diabetes? Diabetes affects the way your body turns food into energy. When you eat, your body changes food into a sugar called glucose. Glucose is the fuel
More informationRev. date Kaiser Foundation Health Plan of Washington
PE3620000-01-17 Rev. date 2014013 2017 Kaiser Foundation Health Plan of Washington Gestational diabetes Information to help you stay healthy during your pregnancy What is gestational diabetes? How gestational
More informationNational Aboriginal Diabetes Association. Gestational Diabetes (developed by Sarah Smith, 4 th yr Nursing, University of Manitoba)
National Aboriginal Diabetes Association Gestational Diabetes (developed by Sarah Smith, 4 th yr Nursing, University of Manitoba) Who we are NADA is a not-for-profit members-led organization established
More informationMaternity Information Leaflet. Care of the Perineum (including Pelvic Floor Exercises) Version 2
Maternity Information Leaflet Care of the Perineum (including Pelvic Floor Exercises) Version 2 Pelvic Floor Exercises The pelvic floor muscles are located between your legs, and run from your pubic bone
More informationHealthy mum, healthy bub: pregnancy and type 1 or type 2 diabetes
Healthy mum, healthy bub: pregnancy and type 1 or type 2 diabetes Please be advised that this resource may contain images of Aboriginal or Torres Strait Islander people who are now deceased. Acknowledgements
More informationUnderstanding gestational diabetes
Understanding gestational diabetes Gestational diabetes is a form of diabetes that occurs in women during pregnancy. About 12 14% of pregnant women will develop gestational diabetes, usually around the
More informationPolycystic ovary syndrome (PCOS)
Information for patients Polycystic ovary syndrome (PCOS) What is polycystic ovary syndrome? Polycystic ovary syndrome (PCOS) is a condition which can affect a woman s menstrual cycle, fertility, hormones
More informationDiabetes and pregnancy. diabetes. and. pregnancy
Diabetes and pregnancy i diabetes and pregnancy www.glucomen.co.uk Diabetes and Pregnancy Diabetes is a medical condition where there is too much sugar (glucose) in the bloodstream. Glucose is the main
More informationPostnatal Care for Women with Type 1 or Type 2 Diabetes
Postnatal Care for Women with Type 1 or Type 2 Diabetes Maternity Patient Information Leaflet Introduction Congratulations! Now you have had your baby, your insulin requirements will be reduced. This is
More informationGESTATIONAL DIABETES MELLITUS AND SUBSEQUENT MANAGEMENT OF CONFIRMED GESTATIONAL DIABETES MELLITUS (GDM) AND SELECTIVE SCREENING - CLINICAL GUIDELINE
GESTATIONAL DIABETES MELLITUS AND SUBSEQUENT MANAGEMENT OF CONFIRMED GESTATIONAL DIABETES MELLITUS (GDM) AND SELECTIVE SCREENING - CLINICAL GUIDELINE V 1.5 2017 Screening - Clinical Guideline Page 1 of
More informationWhat is polycystic ovary syndrome? What are polycystic ovaries? What are the symptoms of PCOS?
What is polycystic ovary syndrome? Polycystic ovary syndrome (PCOS) is a condition which can affect a woman s menstrual cycle, fertility, hormones and aspects of her appearance. It can also affect your
More informationPolycystic Ovary Syndrome (PCOS)
Polycystic Ovary Syndrome (PCOS) What are Polycystic Ovaries? Polycystic ovaries are slightly larger than normal ovaries and have twice the number of follicles (small cysts). Polycystic ovaries are very
More informationInformation for you. What is polycystic ovary syndrome? Polycystic ovary syndrome: what it means for your long-term health
aashara Polycystic ovary syndrome: what it means for your long-term health Information for you Published in February 2005, minor amendments in June 2005 Revised 2009 What is polycystic ovary syndrome?
More informationpatientinformation Pregnancy & pre-existing diabetes Obstetrics & Gynaecology The Rotherham NHS Foundation Trust
The Rotherham NHS Foundation Trust Pregnancy & pre-existing diabetes Obstetrics & Gynaecology patientinformation Your health,your life,your choice,our passion Hearing about your experience of our services
More informationGuideline for the Management of Diabetes in Pregnancy
Guideline for the Management of Diabetes in Pregnancy INITIATED BY: Directorate of Obstetrics, Gynaecology & Sexual Health APPROVED BY: Integrated Business, Obstetrics, Gynaecology, Sexual Health & Patient
More informationGlucose Tolerance Test. Women s and Children s Services
Glucose Tolerance Test Women s and Children s Services General Information This leaflet is designed to give information regarding your Glucose Tolerance Test (GTT). Please make the appointments for this
More informationSis for. smoking and pregnancy. Don t give up giving up. textphone
Don t give up giving up. For friendly, practical advice on giving up smoking and where you can find help close to home, call the NHS Pregnancy Smoking Helpline 0800 169 9 169 textphone 0800 169 0 171 Sis
More informationPreconception advice for women with type 1 and 2 diabetes. Points to consider before or as soon as you learn that you are pregnant.
Preconception advice for women with type 1 and 2 diabetes Points to consider before or as soon as you learn that you are pregnant. General advice for women planning pregnancy Folic acid tablets: Doctors
More informationEnhanced Recovery Programme Liver surgery
Enhanced Recovery Programme Liver surgery General Surgery Patient information leaflet Introduction When you are admitted to hospital for your surgery you will be taking part in an enhanced recovery programme.
More informationGestational Diabetes. A Guide for Pregnant Women
August 2009 fast facts n Gestational diabetes is a kind of diabetes that can happen during pregnancy. It usually goes away after delivery. n Gestational diabetes is treated by controlling blood sugar.
More informationAlcohol and pregnancy: information for you
Alcohol and pregnancy: information for you Published November 2006 by the RCOG Contents Page number Key points 1 About this information 2 How does alcohol affect pregnancy? 3 How is alcohol measured? 3
More informationPain relief in labour. Maternity Patient Information Leaflet
Pain relief in labour Maternity Patient Information Leaflet Introduction This leaflet aims to give you information about the forms of pain relief available to you which can help you cope with pain when
More informationDiabetes and Pregnancy
Diabetes and Pregnancy Dr Warren Gillibrand Deputy Director of Postgraduate Education Department of Nursing & Midwifery Department of AHP and Sports Science w.p.gillibrand@hud.ac.uk Aims of the session
More informationDIABETES WITH PREGNANCY
DIABETES WITH PREGNANCY Prof. Aasem Saif MD,MRCP(UK),FRCP (Edinburgh) Maternal and Fetal Risks Diabetes in pregnancy is associated with risks to the woman and to the developing fetus. Maternal and Fetal
More informationRick Fox M.A Health and Wellness Specialist
Metabolic Diseases Rick Fox M.A Health and Wellness Specialist Metabolic Diseases Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates
More informationScreening, Diagnosis and Management of Gestational Diabetes in New Zealand: A Clinical Practice Guideline
Screening, Diagnosis and Management of Gestational Diabetes in New Zealand: A Clinical Practice Guideline 6 November 2014 Gary Tonkin Today Process to develop the guideline What the guideline recommends
More informationCT Guided Lung Biopsy. Patient Information
CT Guided Lung Biopsy Patient Information Author ID: VS Leaflet Number: Rad 021 Version: 1 Name of Leaflet: CT Guided Lung Biopsy Date Produced: April 2017 Review Date: April 2019 Introduction What is
More informationGestational Diabetes Mellitus
Gestational Diabetes Mellitus Should GPs keep a register of everyone with GDM? Ross Lawrenson Waikato Clinical School University of Auckland Definition of GDM GDM is defined as carbohydrate intolerance
More informationAm I at Risk for Type 2 Diabetes?
Am I at Risk for Type Diabetes? Taking Steps to Lower Your Risk of Getting Diabetes On this page: What is type diabetes? Can type diabetes be prevented? What are the signs and symptoms of type diabetes?
More informationGlucose tolerance test in pregnancy. Maternity Department Patient Information Leaflet
Glucose tolerance test in pregnancy Maternity Department Patient Information Leaflet What is a glucose tolerance test (GTT)? It is a simple test which is carried out during pregnancy to find out if you
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Gestational diabetes: risk assessment, testing, diagnosis and management bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They
More informationTaking care of your perineum before, during and after birth
Taking care of your perineum before, during and after birth A Parent Information Leaflet Where is is my my perineum and and what what happens happens during childbirth? during childbirth? Your perineum
More informationInformation for health professionals
Introduction of a new screening test for newborn babies in Wales Newborn bloodspot screening for Medium chain acyl-coa dehydrogenase deficiency (MCADD) Newborn bloodspot screening for MCADD is being introduced
More informationAm I at Risk for Type 2 Diabetes?
NATIONAL DIABETES INFORMATION CLEARINGHOUSE Am I at Risk for Type 2 Diabetes? Taking Steps to Lower Your Risk of Getting Diabetes U.S. Department of Health and Human Services National Institutes of Health
More informationYour anaesthetic for heart surgery
Your anaesthetic for heart surgery Information for patients and carers First Edition 2018 www.rcoa.ac.uk/patientinfo This leaflet gives you information about your anaesthetic for adult heart (cardiac)
More informationAbout anal cancer. Incorporating hospital and community health services, teaching and research
About anal cancer Incorporating hospital and community health services, teaching and research The Homerton Anal Neoplasia Service is a referral centre that provides a screening and treatment service for
More informationThe Eating Disorders Service
Contact us Clinical Team Leader Eating Disorders Service Steps Unit Southmead Hospital Bristol BS10 5NB 0117 3236113 www.awp.nhs.uk The Eating Disorders Service PALS To make a comment, raise a concern
More informationINTRAVENOUS IRON THERAPY
INTRAVENOUS IRON THERAPY Information for women Maternity Services Please read this leaflet carefully. It has been written to give you information about your treatment with intravenous iron therapy. WHAT
More informationPregnancy, birth and postnatal information for women who have epilepsy
Pregnancy, birth and postnatal information for women who have epilepsy This leaflet is for pregnant women with epilepsy. It explains what complications may occur, how your pregnancy will be monitored because
More informationPelvic organ prolapse
Page 1 of 11 Pelvic organ prolapse Introduction The aim of this leaflet is to give you information about a pelvic organ prolapse, its causes and available treatments but does not replace advice given by
More informationGESTATIONAL DIABETES for GP Obstetric Shared Care Accreditation Seminar. Simon Kane March 2016
GESTATIONAL DIABETES for GP Obstetric Shared Care Accreditation Seminar Simon Kane March 2016 Objectives History and definitions Definition and Australian data Pathophysiology and prevalence Rationale
More informationSentinel lymph node biopsy for early oral cancer
Sentinel lymph node biopsy for early oral cancer Information for patients from the Oral and Maxillofacial Department When cancer cells start to spread from the main cancer this represents an important
More informationCare of your Perineum following 3 rd and 4 th degree tears
Maternity Services Care of your Perineum following 3 rd and 4 th degree tears Introduction This leaflet aims to give you information about the repair and aftercare of the third or fourth degree tear you
More informationWhy is my Blood Sugar Too High?
What is Gestational Diabetes? Gestational diabetes is a type of diabetes which can occur during pregnancy and usually goes away after the baby is delivered. Gestational means in pregnancy and Diabetes
More informationDiabetes Educator. Australian. Diabetes in Pregnancy. Policy Discussion. GDM Model of Care the Role of the Credentialled Diabetes Educator
Australian Diabetes Educator Volume 17, Number 3, August 2014 Diabetes in Pregnancy GDM Model of Care the Role of the Credentialled Diabetes Educator GDM a New Era in Diagnosis and the Impact for Diabetes
More informationIf you have any further questions, please speak to a doctor or nurse caring for you.
Having a laparoscopy This leaflet aims to answer your questions about having a laparoscopy. It explains the benefits, risks and alternatives, as well as what you can expect when you come to hospital. If
More informationUnderstanding Diabetes. Quick fact. Guide to diabetes. Type 1 (childhood onset)
GUIDE TO DIABETES Understanding Diabetes Diabetes mellitus is a chronic condition in which too much glucose (sugar) is present in the blood. After we eat, various foods are broken down in the gut into
More informationSacroiliac joint injections
Sacroiliac joint injections Pain Management Patient Information Leaflet Introduction Welcome to The Dudley Group NHS Foundation Trust. This leaflet will provide you and your relatives with information
More informationMaternity Services Intravenous iron therapy Information for women
Maternity Services Intravenous iron therapy Information for women Please read this leaflet carefully. It has been written to give you information about your treatment with intravenous iron therapy. What
More informationSurgery for stress incontinence:
Surgery for stress incontinence: information for you aashara Published February 2005 by the RCOG Contents Key points About this information What is stress incontinence? Do I need an operation? What operation
More informationPerinatal Community Service (Croydon)
South London and Maudsley NHS Foundation Trust Perinatal Community Service (Croydon) Specialist service for mother and infant mental health Page Who Are We? The Croydon Perinatal Community Service helps
More informationpatientinformation Gestational Diabetes Mellitus (GDM) A guide to antenatal and postnatal care in Rotherham Obstetrics & Gynaecology
The Rotherham NHS Foundation Trust Gestational Diabetes Mellitus (GDM) A guide to antenatal and postnatal care in Rotherham Obstetrics & Gynaecology patientinformation Your health,your life,your choice,our
More informationAneurin Bevan University Health Board Diabetes in Pregnancy: Care Pathway for Management of Diabetes in Pregnancy
Aneurin Bevan University Health Board Diabetes in Pregnancy: Care Pathway for Management of Diabetes in Pregnancy N.B. Staff should be discouraged from printing this document. This is to avoid the risk
More informationHigh dose antipsychotic therapy
High dose antipsychotic therapy Promoting hope and wellbeing together This leaflet gives you some information about High Dose Antipsychotic Therapy (HDAT). Your doctor, nurse or pharmacist has given you
More informationWhat diabetes care to expect
What diabetes care to expect What is diabetes? Diabetes mellitus is a condition in which the amount of glucose (sugar) in the blood is too high because the body cannot use it properly. Glucose comes from
More informationrisk Does my epilepsy put me at risk?
risk Does my epilepsy put me at risk? 3 4 4 5 6 7 8 9 10 13 14 does my epilepsy put me at risk? making choices about risk getting good seizure control staying safe safety aids and equipment risk assessments
More informationTransition for Children and Young People (age 0-18 years) with Diabetes
Transition for Children and Young People (age 0-18 years) with Diabetes Other formats If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast,
More informationNon Alcohol Fatty Liver Disease (NAFLD) An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Non Alcohol Fatty Liver Disease (NAFLD) An information guide Non Alcohol Fatty Liver Disease (NAFLD) What is Non Alcohol Fatty Liver Disease?
More informationMonthly WellPATH Spotlight November 2016: Diabetes
Monthly WellPATH Spotlight November 2016: Diabetes DIABETES RISK FACTORS & SELF CARE TIPS Diabetes is a condition in which the body does not produce enough insulin or does not use the insulin produced
More informationNorthumbria Healthcare NHS Foundation Trust. Emotional changes in pregnancy and after childbirth. Issued by the Maternity Department
Northumbria Healthcare NHS Foundation Trust Emotional changes in pregnancy and after childbirth Issued by the Maternity Department How can pregnancy affect my mental health? Women can experience problems
More informationDiabetes and stroke. What is diabetes? What are the symptoms of diabetes? Stroke Helpline: Website: stroke.org.uk
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Diabetes is a condition caused by too much sugar in your blood. There are over three million people in the UK who have diabetes. If it s not controlled
More informationPregnant? There are many ways to help protect you and your baby. Immunise against: Flu (Influenza) Whooping cough (Pertussis) German measles (Rubella)
Pregnant? There are many ways to help protect you and your baby Immunise against: Flu (Influenza) Whooping cough (Pertussis) German measles (Rubella) mmunisation This leaflet describes the vaccinations
More informationPancreas transplants. What you need to know. Information for patients Sheffield Kidney Institute (Renal Unit)
Pancreas transplants What you need to know Information for patients Sheffield Kidney Institute (Renal Unit) page 2 of 16 What is the pancreas and why is it transplanted? The pancreas is part of the digestive
More informationAfter a kidney transplant
The nursing staff will make sure that you are comfortable and will monitor the transplanted kidney to make sure it is working well. When you wake up you will notice that you will have a number of different
More informationWhat is DIABETES? Gwen Hall Diabetes Specialist Nurse Haslemere Health Centre Surrey
What is DIABETES? By: Gwen Hall Diabetes Specialist Nurse Haslemere Health Centre Surrey WHAT IS DIABETES? What is diabetes? In simple terms diabetes prevents your body converting sugars and starches in
More informationTransforaminal epidural injections
Transforaminal epidural injections Pain Management Patient Information Leaflet Introduction Welcome to The Dudley Group NHS Foundation Trust. This leaflet will provide you and your relatives with information
More informationBlepharospasm (eyelid spasm)
Opthalmology department Blepharospasm (eyelid spasm) Information for patients, relatives and carers What is blepharospasm? Blepharospasm is a condition in which the eyelid(s) go into spasm and close in
More informationWomen and epilepsy. Introduction. Puberty and young women
Women and epilepsy Introduction Epilepsy can affect women at any age in their lives, from childhood to puberty, during the reproductive years and pregnancy, through to menopause and later life. This guide
More informationHow does my weight affect my fertility? Maternity Services
How does my weight affect my fertility? Maternity Services Why is it important that i lose weight? You may be aware that being overweight or obese can lead you to develop a number of diseases such as diabetes,
More informationPulsed radiofrequency. Pain Management Patient Information Leaflet
Pulsed radiofrequency Pain Management Patient Information Leaflet Introduction Welcome to The Dudley Group NHS Foundation Trust. This leaflet will provide you and your relatives with information about
More informationComputed Tomography Renal Scan (Haematuria Pathway)
Computed Tomography Renal Scan (Haematuria Pathway) Radiology Department Patient information leaflet This leaflet tells you about having a CT Renal scan. This procedure is also sometimes called a Haematuria
More informationSaint Mary s Hospital. The Warrell Unit. Perineal Clinic
Saint Mary s Hospital The Warrell Unit Perineal Clinic 2 What is the Perineal Clinic? The Perineal Clinical is a clinic for women who have had a tear of the anal sphincter during the delivery of their
More informationPain Relief in Labour Epidurals and Spinals
Pain Relief in Labour Epidurals and Spinals Information for woman Maternity Services For more information, please contact: Anaesthetics Department Telephone Scarborough: 01723 385202 Telephone York: 01904
More informationTreating your prolapse
Treating your prolapse This leaflet explains what a prolapse is, and how it can be treated and managed. If you have any questions or concerns, please speak to a doctor or nurse caring for you. What is
More informationLaparoscopic Sacrohysteropexy
Professor Christian Phillips BSc Hons BM DM FRCOG Consultant Gynaecologist and Urogynaecologist Laparoscopic Sacrohysteropexy What is a prolapse? Uterine prolapse is a bulge or lump in the vagina caused
More informationDiabetes in pregnancy
Issue date: March 2008 Diabetes in pregnancy Management of diabetes and its complications from pre-conception to the postnatal period Developed by the National Collaborating Centre for Women s and Children
More informationKnee joint arthroscopy
Critical Care, Theatres & Diagnostics Knee joint arthroscopy Information for patients This booklet answers some of the questions you may have about having a knee joint arthroscopy. It explains the risks
More informationInformation about abdominoplasty surgery (tummy tuck) Part 1 of 3
Information about abdominoplasty surgery (tummy tuck) Part 1 of 3 This leaflet explains abdominoplasty surgery. It is important that you read this information carefully and completely. Please initial each
More informationAdult ADHD Service Patient Information Leaflet
Adult ADHD Service Patient Information Leaflet Our contact details Adult ADHD Service Keegan Court Grassbanks Gateshead NE10 8DX Tel: 0191 287 6250 Fax: 0191 287 6251 Email: NTAWNT.ANDS@nhs.net Please
More informationPreventing type 2 diabetes the NDH Care Call Service
Preventing type 2 diabetes the NDH Care Call Service Diabetes Care Call Team 0161 206 5668 All Rights Reserved 2017. Document for issue as handout. Unique Identifier: MED35(17). Review date: July 2019
More informationSpecialist Perinatal Mental Health Service (SPMHS)
Specialist Perinatal Mental Health Service (SPMHS) INFORMATION FOR FAMILIES AND CARERS 2 Specialist Perinatal Mental Health Service (SPMHS) WELCOME The Specialist Perinatal Mental Health Service (SPMHS)
More informationManage Diabetes with Small Changes
In This Issue: } Manage with Small Changes } The Role of Your Educator } Prediabetes: A Call to Action } Insulin and : Your Questions Answered Manage with Small Changes One man learns simple ways to keep
More informationA S Y N T H E S I Z E D H A N D B O O K ON G E S T A T I O N A L D I A B E T E S
A S Y N T H E S I Z E D H A N D B O O K ON G E S T A T I O N A L D I A B E T E S P R E F A C E Dear reader, This is a synthesized handbook conceived to serve as a tool to health personnel in the screening,
More informationPolycystic Ovary Syndrome
Page 1 of 5 Polycystic Ovary Syndrome Polycystic ovary syndrome (PCOS) is common. It can cause period problems, reduced fertility, excess hair growth, and acne. Many women with PCOS are also overweight.
More informationTension-free Vaginal Tape (TVT)
Page 1 of 7 Tension-free Vaginal Tape (TVT) Introduction This leaflet will provide you with basic information about the Tension--free Vaginal Tape (TVT) procedure. What is a TVT? TVT is an operation to
More informationThrombosis and Anticoagulation Team. Warfarin. Information for patients, relatives and carers
Thrombosis and Anticoagulation Team Warfarin Information for patients, relatives and carers What is warfarin? Warfarin is an anticoagulant. Anticoagulants are drugs which prevent harmful blood clots forming
More informationEVERY DIABETES TYPE 2 HAVE TYPE 2 DIABETES TWO MINUTES IS SERIOUS SOMEONE LEARNS THEY DO YOU KNOW YOUR RISK OF GETTING TYPE 2 DIABETES?
DO YOU KNOW YOUR RISK OF GETTING TYPE 2 DIABETES? 11.9 million people in the UK are at increased risk of developing Type 2 diabetes. Anyone can get it. EVERY TWO MINUTES SOMEONE LEARNS THEY HAVE TYPE 2
More informationChronic Kidney Disease Mineral Bone Disorder (CKD-MBD)
Oxford Kidney Unit Chronic Kidney Disease Mineral Bone Disorder (CKD-MBD) Information for patients This leaflet will provide you with information about chronic kidney disease mineral bone disorder (CKD-MBD)
More informationType 2 Diabetes. What is diabetes? What is type 2 diabetes? What is type 1 diabetes? Understanding blood glucose and insulin
Page 1 of 7 Type 2 Diabetes Type 2 diabetes occurs mainly in people aged over 40. The first-line treatment is diet, weight control and physical activity. If the blood sugar (glucose) level remains high
More informationDiagnosis of Diabetes National Diabetes Information Clearinghouse
Diagnosis of Diabetes National Diabetes Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH U.S. Department of Health and Human Services
More informationDiabetes. What is diabetes?
Diabetes 966 860 258 www.medcarespain.com doctors@medcarespain.com The incidence of diabetes has reached epidemic proportions. About 350 million people worldwide have diabetes, and according to the World
More informationInformation for all patients taking insulin who are admitted to hospital on day of surgery
Information for all patients taking insulin who are admitted to hospital on day of surgery Exceptional healthcare, personally delivered Introduction Many patients are now admitted to hospital on the day
More informationThe transition to parenthood, mood changes, postnatal depression and post traumatic stress disorder
The transition to parenthood, mood changes, postnatal depression and post traumatic stress disorder A Parent Information Leaflet Contents The transition to parenthood 3 What are the Baby Blues? 3 What
More informationDiabetes and You. A Quick Guide
Diabetes and You A Quick Guide Contents Introduction to Diabetes What is Diabetes? 03... What is diabetes Diabetes is a condition where there is 05... What does this mean for me? too much glucose (a type
More information