Pregnancy and DM Flashcards
1
Q
What are risk factor for gestational DM?
A
- > 25
- overweight
- GDM prior
- large baby
- family hx
- stillbirth in previous pregnancy
- ethnic groups
2
Q
When should routine screening for GDM be done?
A
24-28 weeks
3
Q
How is GDM dx?
A
2 step method:
1. 50g glucose solution, abnormal if blood glucose >130-140 at 1h
2. 100g glucose solution dx if 2 readings are:
fasting >95
1h >180
2h >155
3h >140
4
Q
What should be used instead of glucose solution for gastric bypass patients when screening for GDM?
A
- candy
- predefined meal
- commercial soft drink
5
Q
Why would we test someone for GDM in the first trimester?
A
- hx of GDM
- known impaired glucose metabolism
- BMI >30
6
Q
How often should glucose be monitored in GDM?
A
4 times per day
7
Q
What are goals for GDM?
A
fasting <95
1h postprandial <140
2h postprandial <120
8
Q
What are pharm options for GDM?
A
- insulin 0.7-1 U/kg/day
- glyburide 2.5-20 qhs
- metformin
9
Q
What should be done with meds after delivery?
A
D/C
10
Q
What is the first line option for GDM?
A
insulin
