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Flashcards in Pregnancy and DM Deck (10)
1

What is the pathophys of gestational DM

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

2

what is the incidence of GDM

5-8%

3

RF for GDM

prior GDM, fam history, obesity, non-white

4

what are maternal complications of GDM

polyhydraminos, preE, miscarriage

5

fetal complications of GDM

macrosomia --> shoulder dystocia
hypoCa
hypoglycemia
polycytemia -->hyperviscosity

6

fetal malformations assc with GDM

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

7

How is GDM diagnosed/screened for

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

8

How is GDM managed?

tight glc control with diet > insulin > glyburide

induce at 39-40 wks
C/S if macrosomic

9

What is the ideal glc for woman with GDM

70-110

HgbA1c < 6.5%

10

What is the white classification of diabetes?

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