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Flashcards in Pregnancy and DM Deck (10)
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1
Q

What is the pathophys of gestational DM

A

inc hPL/E/P –> dec glucose uptake by mom/anti-insulin effect

2
Q

what is the incidence of GDM

A

5-8%

3
Q

RF for GDM

A

prior GDM, fam history, obesity, non-white

4
Q

what are maternal complications of GDM

A

polyhydraminos, preE, miscarriage

5
Q

fetal complications of GDM

A

macrosomia –> shoulder dystocia
hypoCa
hypoglycemia
polycytemia –>hyperviscosity

6
Q

fetal malformations assc with GDM

A

CV defects, NTDs, caudal regression syndrome, situs inversus, duplex ureter, IUGR

7
Q

How is GDM diagnosed/screened for

A

screen with glucose challenge test at week 26-28 –> if > 40mg/dl confirm with OGTT

8
Q

How is GDM managed?

A

tight glc control with diet > insulin > glyburide

induce at 39-40 wks
C/S if macrosomic

9
Q

What is the ideal glc for woman with GDM

A

70-110

HgbA1c < 6.5%

10
Q

What is the white classification of diabetes?

A
A1 = GDM, diet controlled
A2 =  GDM, insulin controlled
B = onset >20 y/o, duration 20 yrs
F = neFropathy
R = Retinopathy
RF = Retinopathy + neFropathy
H = ischemic Heart disease
T = prior renal Txp