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Flashcards in Exam 3 Diabetes Deck (72)
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1

Which women in White's classification generally have positive pregnancy outcomes as long as their BG levels are controlled?

Classes A-C

2

Class A1

Woman has 2 or more abnormal values with normal fasting BS. BG levels are diet controlled

3

Class A2

Woman has not been known to have diabetes before pregnancy but requires medication for BG control

4

Class B

Onset of dz occurs after age 20 and duration of illness is less than 10 years

5

Class C

Onset of dz occurs between 10-19 or duration is 10-19 years

6

Class D

Onset of dz occurs at less than 10 years of age or duration of illness greater than 20 years

7

Class F

Pt developed diabetic nephropathy

8

Class R

Pt developed retinitis proliferans

9

Class T

Pt has had a renal transplant

10

Risk factors for GDM

Family hx, stillbirth, malformed or macrocosmic fetus, obesity, HTN, glycosuria, older than 25

11

When is GDM usually diagnoses?

2nd half of pregnancy

12

Who should be screened for GDM?

All preg women not known to have pre gestational DM

13

What are the 2 different screening methods for GDM?

1. Oral glucose tolerance test
2. 3 hour OGTT

14

Management of GDM is based on what?

BG not urine glucose

15

GDM diets are individualized to what?

Increased fetal requirements, pre-pregnancy weight, dietary habits, overall health, ethnic background, lifestyle, stage of pregnancy, nutrition

16

Dietary goal with GDM

Provide weight gain consistent with normal preg, prevent ketoacidosis, and minimize wide fluctuations of blood glucose levels

17

First trimester calories for GDM

2200

18

Second and third trimester calories for GDM

2500

19

Standard diabetic diet for GDM

3 meals and 1-3 snacks, on time, never skip

20

Four hours without food intake increases the risk of what?

Hypoglycemia

21

Bedtime snack to prevent hypoglycemia and ketosis

25 grams of carbs with some protein and fat

22

Ideal diet breakdown for GDM

55% carbs
20% protein
25% fat (less than 10% saturated)

23

Good food groups for GDM

Complex carbs, high in fiber and starch and protein to help regulate the BG level by a more sustained glucose release

24

Recommended exercise for GDM

Aerobic with resistance training for at least 30 min most days of the week, non-weight bearing activities such as arm exercises or recumbent bicycle

25

When is the best time to exercise

After meals when glucose level is rising

26

Insulin needs during 1st trimester

Decreases

27

Insulin needs during 2nd and 3rd trimesters

Increases

28

Insulin needs during labor

Vary

29

What is the most commonly prescribed oral agent for GDM?

Glyburide

30

How safe is glyburide during pregnancy?

Minimal amounts cross the placenta