Chapter 9 Diabetes During Pregnancy Flashcards
anti-insulin agents leading to increased insulin resistance and generalized carbohydrate intolerance
human placental lactogen
beta cell function in the __ may also play a part
pancreas
best time to screen for diabetes is at the second trimester between
24-28
however, to identify women with preexisting t2dm, pts with one or more risk factors for developing gdm should be screened at their first prenatal visit as part of initial prenatal lab tests.
true
gdma1
gestational diabetes; diet controlled
gdma2
gestational diabetes; insulin controlled
if more than __ of a patient’s blood glucose values are elevated, medication usually insulin or oral hypoglycemic agent is indicated
25-30%
in true gestational diabetic patients, fasting values are commonly normal, while pp values are elevated.
true
gdm2 who are on insulin or oral hypoglycemic agent fetal monitoring
nst / modified bpp is typically begun btwn 32-36 weeks. weekly/ biweekly.
patients with hgb A1c or = to ___ have a 25% rate of congenital anomalies.
12%
gdm patients have a higher risk of neural tube defects, they are placed on
4mg of folate daily
type 1 diabetes mellitus. patients should have
- ECG
- 24 hour urine for creatinine clearance and protein (baseline renal function)
- HgbA1C (baseline glucose management)
- thyroid function tests (TSH and T4)
- ophthalmologist - baseline retinopathy.
glucose monitoring in pregnancy uses which 2 insulins?
Humalog - quick acting
NPH - long acting.
time impact seen for Evening NPH
fasting
time impact seen for morning humalog
post breakfast
