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Original Question

Image transcription text Marilyn Walker is a 27-year-old indigenous woman who is in her 20th week of pregnancy. This is Marilyn’s first pregnancy. IT Marilyn has a past medical history of polycystic ovaries (symptomatic treatment) and both of her parents hav… Show more question 1: Explain the pathophysiology of Gestational DiabetesMellitus (GDM). Include in your answer, when GDM usually appears, which two placental hormones associated with GDM, how these hormones affect carbohydrate and lipid metabolism, the cause of GDM in relationship to insulin production and the percentage of women who develop GDM. question 2: Whilst maternal blood glucose levels usually return to normal after birth, there is an increased risk for the mother developing type 2 diabetes in the future. Using complete sentences, outline five (5) strategies would need to teach Marilyn and her family/carer to decrease her risk of developing T2DM. question 3: At age 35 years, Marilyn’s weight has increased to 87 kgs, she leads a sedentary lifestyle, consumes a high saturated fat and salt diet and smokes 10 cigarettes daily. She has visited her GP complaining of fatigue, recurrent vaginal thrush and itching skin. Marilyn’s GP suspects that she may have developed T2DM. He determines that Marilyn needs to have an OGTT to confirm or deny his suspicions. a. What does OGTT stand for and what is an OGTT? b. Describe the preparation and procedure for an OGTT as you would to Marilyn, her significant other, her family, and/or carer c. Create your own table identifying the normal markers and the results confirming a diagnosis of type 2 diabetes. You must include both the fasting and 2 hours post carbohydrate load levels.

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