Pregnancy with Diabetes and Gestational Diabetes

Question 1

What is risk of pregnant + BF woman having diabetes and how to reduce

Answer 1

-high risk to woman and the fetus
-reduce risk by effective blood-glucose control

Question 2

what needs to be done before pregnancy if woman has diabetes?

Answer 2

-aim for hbA1c <48mmol/mol
-take folic acid 5mg

Question 3

which diabetic medications should be stopped and continued in pregnancy

Answer 3

all oral diabetics except metformin should be stopped and replaced with insulin

Question 4

what is 1st line for diabetes when pregnant

Answer 4

isphane insulin

Question 5

what drugs should be stopped if patient with diabetes is pregn

Answer 5

ARBs/ACEi
statins

Question 6

in addition to insulin what should pregnant woman with diabetes carry

Answer 6

fast-acting glucose

Question 7

what is gestational diabetes?

Answer 7

diabetes developed during pregnancy
-affects woman who haven’t had diabetes before

Question 8

in gestational diabetes when should meds be stopped?

Answer 8

after birth

Question 9

gestational diabetes with fasting BG of <7mmol/l tx

Answer 9

1) diet and excerise IF NOT MET IN 1-2WEEKS:
2) Metformin
3) insulin if metformin CI/not tolerated/effective

Question 10

gestational diabetes with fasting BG of 6-6.9mmol/l and complications tx

Answer 10

1) insulin +/- metformin