5 Endocrine Disorders Flashcards
(51 cards)
What is the other name for Type 1 diabetes (advanced disease)?
Juvenile Diabetes
Type 1 is _____ controlled
Insulin
Concerns with Type 1 diabetes in pregnancy
Growth factos
poor vascularization to placenta
Increased resistance at placental bed
Diabetes Type 1 is a ______ abnormality
Congenital
What disrupts organogenesis
Hyperglycemia
What are the MOST COMMON DEFETS in Diabetes Type 1
Cardaic defects
What are the OTHER defects in Diabetes Type 1 (6)
Skeletal (caudal dysplasia sequence) CNS Renal GI IUGR Macrosomia
Mothers with Type 1 diabetes has a history of (4)
Spontaneous abortions
IUGR
Intrauterine deaths-stillbirths
Neonatal deaths
The most severe form of caudal regression syndrome
Sirenomelia aka Mermaid syndrome
sacral agenesis, lower thoracis spine agenesis, hypoplastic femurs, VACTERL
Type 1 diabetes and _______ intolerance is critical to control in ______ pregnancy
glucose; early
Controlling glucose in early pregnancy decreases the risk of?
congenital abnormalities
If glucose levels are elevated in later pregnancy can result in
Macrosomia Anoxia due to pre-clampsia IUGR Primary fetal hazard stillbirth
Type 2 and Gestational diabetes can be ____ or ___ controlled
Insulin or Diet
Risk Factors of Type 2 and Gestational diabetes
Polyhydramnios excessive weight gain macrocosmic infants shoulder dystocia Nerve damage pre-clampsia Fetal deaths
When is a maternal glucose screen performed?
24-28 weeks
What value of glucose is abnormal
testing for intolerance only
> 7.8 mmol/L
GCT test you’re given __mg of glucose and maternal blood is testes __ hours after
50; 1
GTT test you’re given __mg of glucose and maternal blood is testes __ hours after
100; 1, 2 & 3
When is a GTT (glucose tolerance test) warranted
if the GCT test (glucose challenge test) is over 7.8-11 mmol/L
What does it mean if the GCT test is >11.1 m mol/L
Gestational diabetes
Sonographic features in GDM
Extra views for LGA fetus
Fetal subcutaneous fat measurement should be?
< 3mm
Interventricular septum thickness should be?
< 5mm
Hyperthyroidism (from graves disease) may cause: (3)
Goiter
Spontaneous abortion
congenital anomalies
