Diabetes

Question 1

PreGestational DM Counseling and Management: 1st trimester

Answer 1

LABS: 24hr urine, TSH, HbA1C, EKG
REFERRALS: Dietitian, Ophthalmologist, MFM, Cardiologist

Question 2

PreGestational DM Counseling and Management: 2nd trimester

Answer 2

Start ASA 12-28 weeks
Level 2 US
fetal echocardiography

Question 3

PreGestational DM Counseling and Management: 3rd trimester

Answer 3

1- Antepartum fetal monitoring: nonstress test, the biophysical profile, or the modified biophysical profile when performed at appropriate intervals (usually once or twice per week)
2- Evaluate fetal growth around 35 weeks

Question 4

Carpenter Coustan Values

Answer 4

95
180
155
140

Question 5

Metformin

Answer 5

A biguanide
Improves insulin sensitivity
Inhibits hepatic gluconeogenesis and glucose absorption and stimulates glucose uptake in peripheral tissues

Question 6

Glyburide

Answer 6

A sulfonylurea
Binds to pancreatic beta-cell potassium channel receptors to increase insulin secretion and insulin sensitivity of peripheral tissues.
(Should not be used in patients with sulfa allergy)