Diabetes Flashcards
What are the criteria for a diagnosis of gestational diabetes?
Fasting glucose =/> 5.6mmol/litre
2 hour plasma glucose level =/>7.8mmol/litre
What Hba1c should diabetics who are trying to get pregnant aim for?
48mmol/litre (6.5%)
At what Hba1c level would you advise a diabetic women against getting pregnant?
86mmol/litre (10%)
How common is gestational diabetes?
It occurs in 2-5% of pregnancies
What proportion of pregnancies are associated with diabetes?
5%
What are the different causes of diabetes in pregnancy?
Gestational 87.5%
Type 1 7.5%
Type 2 5%
Advisable pre-conception fasting glucose
5-7 on waking
plasma glucose 4-7 before meals
What are the target glucose levels for pregnant women with diabetes?
fasting 5.3
1 hour post meal 7.8
2 hours post meal 6.4
What should you test at 16 weeks for patients with diabetes in pregnancy?
diabetic retinopathy
What imaging should you request for patients with diabetes in pregnancy?
20 week fetal anomaly scan, 28, 32 and 36 week fetal growth and amniotic fluid volume
When is the latest date you would advise a patient with gestational diabetes to give birth?
40weeks+6days
When would you induce type 1 and type 2 diabetics?
Between 37+0 and 38+6 weeks
When should you test for diabetes in a gestational diabetic patients postnatally?
6-13 weeks postnatally with fasting glucose
When should pregnant women at high risk be tested for gestational diabetes?
OGTT at 24-28weeks, diagnosis = 7.8 or above
When should metformin be offered in gestational diabetes?
If targets not met within 1-2 weeks of trial with diet and lifestyle alone
