CLINICAL CHEMISTRY SECTION

NOVEMBER 13-DECEMBER 8, 2017

Gestational Diabetes of a 28 years old woman

A Case study presented to the faculty of

Medical Laboratory Science
In partial fulfillment of the Internship Training for the
Degree of Bachelor in Medical Laboratory Science

Presented by : Chiara Kate M. Codilla

Clinical Instructor : Mr. Jive A. Java, RMT.

 I. Title- Gestational Diabetes of a 28 years old woman
II. Author

Chiara Kate M. Codilla

Medical Technology Intern
University of the Immaculate Conception
Amlo Subdivision, Zone 3, Santa Cruz, Davao del Sur
chiaracodilla@gmail.com
December 2, 2017
III. Definition of keywords

Lethargic- A lack of energy or vigor; sluggishness.

Flaccid- paralysis in which muscle tone is lacking in the affected muscles and
in which tendon reflexes are decreased or absent.
Gestational Diabetes- any degree of glucose intolerance with onset or first
recognition during pregnancy
IV. Clinical History

A 28 year old woman delivered a 9.5 lb infant.

The mothers history was incomplete; she claimed to have had no medical care
through her pregnancy.
V. Physical Examination

The infant was above the 95th percentile for weight and length.
The infant became lethargic and flaccid.
VI. Laboratory Findings
A whole blood glucose and ionized calcium were performed in the nursery with the
following results:

Whole blood glucose- 25mg/dl

Ionized calcium- 4.9 mg/dl
Plasma glucose was drawn and analyzed in the main laboratory to cofirm the whole
blood findings

Plasma glucose- 33 mg/dl

An intravenous glucose solution was started and whole blood glucose was measured
hourly.
VII. Discussion
1. Give the possible explanation for the infants large birth weight and size.
Some babies will be large simply because their parents are large. The amount
of weight gained by the mother during pregnancy can also play a part in birth
weight, especially if the amount gained is considered excessive. Increased
blood sugar in the mother will cause the baby one halfs body to produce extra
insulin, which can lead to fat deposits and excessive growth.
2. If the mother was a gestational diabetic, why has her baby hypoglycemic?
3. Why was there a discrepancy between the whole blood glucose concentration
and the plasma glucose concentration.
4. If the mother had been monitored during pregnancy, what laboratory tests
should have been performed and what criteria would have indicated that she
had gestational diabetes?
VIII. References
Retrieved December 01, 2017, from https://medical-dictionary.thefreedictionary.com/