Diabetes+ Pregnancy Ranges

Question 1

When do we screen for GDM

Answer 1

24-28 weeks unless RF for DM

Question 2

Preferred method for GDM screening

Answer 2

50g Glucose challenge w/ 1hPPG

— if < 7.8: normal

Question 3

2nd step of preferred method of GDM screening

Answer 3

75g OGGT test
- look at FPG, 1hPPG, and 2hPPG

• GDM if have one of the following
  —- FPG >/= 5.1
  — 1hPPG >/= 10
  —2hPPG>/= 8.5

Question 4

GDM FPG target

Answer 4

FPG< 5.3

Question 5

GDM 1hPPG target

Answer 5

1hPPG<7.8

Question 6

GDM 2hPPG target

Answer 6

2hPPG< 6.7

Question 7

Therapy options for GDM

Answer 7

1st line is insulin (RA)
- can use metformin too (does cross placenta but less risk of weight gain)

• glyburide; if don’t want insulin + not controlled on metformin

Question 8

DM + pregnancy: what drugs need to be stopped before conception

Answer 8

• ACEi/ ARB, GLP-1
  — metformin + glyburide okay still conception

Question 9

FA dosing for DM + diabetes

Answer 9

1mg FA x 3 mths before conception + 12 wks post conception

Question 10

A1c target for DM + pregnancy

Answer 10

Before conception: </=7 (6.5 if safe)

during: </=6.5 (</=6.1 if safe)

Question 11

If already have DM before pregnancy, what are there FPG target levels

Answer 11

<5.3

** same as in GDm**

Question 12

Pre-existing DM + pregnancy 1hPPG target

Answer 12

1hPPG < 7.8

Question 13

Pre-existing DM + 2hPPG target

Answer 13

2hPPG< 6.7