Pre-dx Diabetic and Pregnancy Flashcards Preview

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Flashcards in Pre-dx Diabetic and Pregnancy Deck (15)
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1
Q

First Trimester:

1) Insulin requirements increase or decrease?
2) Why is there a change in insulin requirement? (3)
3) N/V can increase risk of _____? aka______?

A
1)  Decrease
2)
a)  hPL (human placental lactogen) produced by placenta makes maternal cells resistant to insulin 
b)  Fetal demands and minimal
c)  Mother is eating less due to N/V
3)  hypoglycemia, aka insulin shock
2
Q

Second Trimester:

1) Insulin requirements increase or decrease?
2) By end of pregnancy insulin requirements may change by how much?
3) Why/what is causing the change in insulin requirements?

A

1) Increase
2) double or quadruple
3) Placenta maturation and hPL

3
Q

1) During Labor Insulin requirements increase or decrease?

2) Why the change in insulin requirements? (2)

A

1) Increase
2)
a) Mother is administered IV glucose to address increase energy needs required for labor
b) More insulin needed for the increase of serum glucose level due to IV glucose

4
Q

Usually an abrupt _____ in insulin requirements occurs after passage of the _____ and the resulting loss of___ in maternal circulation

A

decrease
placenta
hPL

5
Q

Decrease in renal threshold for glucose leads to_____?

A

Higher incident of glycosuria

6
Q

Increase risk of ketoacidosis at ____serum glucose levels

A

lower vs non pregnant diabetic women

7
Q

T or F Vascular disease related to diabetes will progress during pregnancy?

A

T

8
Q

__?____ may occur contributing to vascular changes

A

HTN

9
Q

Renal impairment may result in (2)

A

Nephropathy

Retinopathy

10
Q

Pregnant women with diabetes carry higher risk of complications such as (2)

A

Prenatal mortality

Congenital anomalies

11
Q

Tight Metabolic Control: Fasting blood glucose level

A

95 mg/dl or less

12
Q

Tight Metabolic Control: Pre-meal values

A

100mg/dl or less

13
Q

Tight Metabolic Control: 2-hour postprandial glucose level

A

120 mg/dl or less

14
Q

LATE First Trimester:

1) Insulin requirements increase or decrease?
2) What is responsible for change in insulin requirement?
3) hPL causes (2)

A

1) Increase
2) hPL (human placental lactogen) produced by placenta makes maternal cells resistant to insulin
3)
a) Increasing maternal glucose circulating to be available for fetus
b) Increase demand of maternal pancreas to produce more insulin

15
Q

T or F:

1) Maternal Glucose crosses the placenta?
2) Maternal insulin crosses the placenta?

A

1) True

2) False

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