Diabetes During Pregnancy

Question 1

Optimal time to screen for gestational diabetes:

Answer 1

End of the 2nd trimester (24-28 weeks)

Question 2

Insulin use in gestational diabetes:

Answer 2

• Short-acting insulin (Humalog/Lispro, Novolog) in the morning
• Intermediate-acting insulin (NPH) + short at dinner
• Glyburide, Metformin

Question 3

GDM patients requiring fetal monitoring:

Answer 3

• Only if taking insulin or oral hypoglycemics

- NST/BPP weekly

Question 4

Antenatal testing with nonstress tests and AFI for GDM patients is done to:

Answer 4

Prevent stillbirth