Diabetes and pregnancy

Question 1

Pre existing diabetes (type 1 and type 2) - pre-conception measures:

Answer 1

Good blood glucose control
Give folic acid
Plan pregnancy

Question 2

Pre existing diabetes (type 1 and type 2) - during pregnancy measures:

Answer 2

Regular eye checks

Question 3

Pre existing diabetes (type 1 and type 2) - complications

Answer 3

Congenital malformation
Prematurity
Intra-uterine growth retardation

Question 4

Gestational diabetes - definition

Answer 4

Any degree of glucose intolerance during pregnancy

Question 5

Gestational diabetes - clinical features

Answer 5

Polydypsia
Polyuria
Tiredness
Dry mouth

Question 6

Gestational diabetes - management

Answer 6

Diabetic diet
Monitor blood glucose levels regularly
Monitor HbA1c
Metformin

Question 7

Gestational diabetes - outcome after birth

Answer 7

Usually resolves (do a GGT to confirm) 
More likely to develop type 2 diabetes in later life

Question 8

Gestational diabetes - problems in baby

Answer 8

High birth weight (normal growth but fat)
Respiratory distress
Hypoglycaemic fits (due to delivery to a low sugar environment)