Diabetes in preg

Question 1

DKA can happen at…

Answer 1

normal BSL!!

Question 2

HBAIC aim for preg?

Answer 2

Under 6.1 before

6.5 during

Question 3

True or false- increased background risk congen abnormalities even if perfect control in TYPE 1?

Answer 3

True

Question 4

Target fasting?

Answer 4

under 5.1

2 hr post under 6.7

Question 5

When deliver in DM?

Answer 5

Consider at 38 weeks

Question 6

The cut offs for new OGTT?

Answer 6

fasting under 5.1
1 hr under 10
2 hrs under 8.5

ANY ONE OF THE ABOVE satisfies criteria
Do 24-28 week GTT

Question 7

Gestational DM first line?

Answer 7

diet but 20% will fail this strategy

if baby already small, straight to insulin

Question 8

Metformin in preg?

Answer 8

No problems- have data only to age 7 years for kids

Question 9

Obesity in pregnancy - what are the risks?

Answer 9

Mother: 
 pre-eclampsia
gestational diabetes
infection
thromboembolic events
need for induction of labour
caesarean section
perinatal death

Babies:
macrosomic
require admission to the neonatal intensive care unit
be born preterm
have a congenital anomaly
require treatment for jaundice or hypoglycaemia.

Question 10

Lose weight during preg make a difference?

Answer 10

No- Au research shows no difference

need to lose weight before get pregnant