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Flashcards in diabetes in pregnancy Deck (26):
1

what should be given to diabetic during pregnancy and pre conception

folic acid 5mg

2

why is glycosuria common in pregnancy unrelated to DM

GFR increases and tubular glucose reabsorption decreases

3

maternal complications DM in pregnancy

hydramnios, pre term, still birth, pre eclampsia, miscarriage

4

fetal complications DM in pregnancy

malformation rates higher, macrosomia, growth restriction

5

neonatal risks DM

hypoglycaemia, RDS, decr Ca, decr Mg, polycythaemia

6

which oral hypoglycaemic can be used in pregnancy

metformin

7

aims fasting glucose

3.5-5.9

8

aims post prandial (1h) glucose

7.8

9

what should you exclude if the patient is unwell

DKA

10

what HbA1c should you not be getting pregnant

>10% as the risk of malformation is so high

11

what type of malformation are you at risk of

cardiac and neural tube defect, skeletal abnormalities

12

what does the placenta secrete that has an anti insulin effect

lactogen, progesterone, HCG, cortisol, cytokines

13

what is the child at more risk of

adult obesity, glucose intolerance in childhood1

14

scans in diabetic patient

dating, anomaly, growth scan at 34 weeks

15

when is delivery aimed for

elective delivery at 38 weeks

16

what causes fetal hypo

maternal hyper

17

duration of labour to allow for vaginal delivery

12 hours1

18

what should you give the evening before induction

insulin

19

what do you need to give during labour1

1L glucose with insulin via pump

20

what drugs can be taken and breastfeeding

metformin, glibenclamide

21

what is the OGTT in gestational

>7.8

22

what % pregnancies have gestational D

3%

23

why would you screen for GDM

prev GDM, BMI >30, FHx, prev baby >4.5kg, high risk area

24

if GDM not controlled by diet/exercise what would you prescribe

metformin, glibenclamide, insulin

25

what % GDM develop DM

50%

26

when to check fasting glucose postpartum in GDM

6 weeks