Diabete Flashcards
1
Q
What is gestational diabetes
A
Onset of glucose intolerance onset during pregnancy
2
Q
Pathophysiology of GDMn
A
Lactogen produced by placenta increase in size and antagonise the insulin
3
Q
What are risk factors of GDM
A
- obesety
- Family/ personal hx
- Prediabetes
- Older than 25
- Non-white race
- Giving birth previously to large babies (more than 4kg)
- PCOS
- medications (Steroids - antipsychoids)
4
Q
What are the complications of GDM (maternal)
A
- large babies needing CS
- mother high blood pressure
- diabetics have high risk of infection which is the leading cause of preterm, miscarriages (specific for pregestational dm)
5
Q
What are the complications of GDM (fetal)
A
- birth defect
- polyuria causing polyhydramnios
- macrosomia
- hypoglycemia in newborn
6
Q
What are the complications of GDM (both)
A
future dm in both mother and baby
7
Q
What is the general management approach for diabetic mothers
A
- Healthy diet
- Physical exercise
- Healthy weight
- Medication
- Insulin injection
8
Q
What are the hormones that play role in GDM
What is the role that they play
A
human placental lactogen, progesterone, prolactin, and cortisol
Insulin-resistance
