Sunday, November 13, 2011

Gestational Diabetes



Gestational diabetes is defined as any glucose intolerance of varying severity discovered during pregnancy. It may be discovered during a routine screening or testing performed to risk factors.

What are the risk factors for gestational diabetes?
Maternal age> 35 years
Obesity
Family history of diabetes
Personal history of gestational diabetes
Personal history of midwifery: Pre-eclampsia, fetal macrosomia, unexplained stillbirth, birth defects.
When can we make screening for gestational diabetes?
Systematic screening is between 24 and 28 weeks (weeks)
If risk factor screening is done early in pregnancy, then 24 and 28 weeks if negative
Conventional strategy in two steps for testing:
The test OSullivan: Review of reference that evaluates the rate of absorption of blood sugar (glucose regulation) to screen for possible gestational diabetes.
Test = OSSULIVAN taking 50g of glucose with or without food and determination of plasma glucose after 1 hour.

Prevacid

Purchase of medication can be done online with many online pharmacies catering to the needs of individuals. One can buy prevacid at reliable sites who are dedicated in rendering the highest quality brand at competitive rates. One can also buy premarin of different strength which comes with good pricing and marketed by licensed manufacturers. They guarantee that their products are authentic and are delivered in the original manufacturers packing. Ordering can be done via phone, online, fax or through email. Their deliveries are swift; prices are comparatively low with a toll free customer support. Prescription and non prescription brands are listed to enable the user to make online purchase at discounted prices. Purchase of these medications are easy and stress free since the orders are placed online and delivered at the residence of the customer.

They offer a variety of selection on medication and one can also buy protonix through these sites. They offer standard shipping charges of $10. Any overweight or oversized items which may need additional handling are subject to extra charges. All the orders are processed and shipped within 48 to 72 hours after placement of orders and are delivered within 8 to 12 working days. Prescription shipment is limited to a 90 days supply for each medication and if the prescription is a one year supply, then a supply of 90 days supply is made once in every three months to the customer. Orders can be tracked through the tracking number at their site. Their products are covered for loss or damage though incorrect shipping information of the customers is not covered. The customer care services rendered by their supportive team on board are par excellence. Their purchase and return policy states that once the medication has left the pharmacy it cannot be returned as per bylaw 5 (33 subsection 1 in accordance with B.C. College of Pharmacists.