Diabetes In Pregnancy

Question 1

Risk factors for diabetes in pregnancy

Answer 1

D…1st degree relative (with diabetes )
I… increased glycosuria 
A… advanced maternal age (older than 25)
B… big baby(deliveried baby before greater than 4kg as well multiple pregnancies)
E… ethnicity (African descent) 
T… pcos (polycysTic) 
E… obEsity 
S…history of still birth 

Previous gdm
Htn/PIH(dm also risk factor for htn/pih)

Question 2

When is screening usually done for dm in pregnancy

Answer 2

24-28weeks

Question 3

Using oral glucose challenge test, what is diagnostic of gdm… also describe the test

Answer 3

1 hour after 50g Glucose given

Pg <7.8 then no gdm
7.8-10.3 then do ogtt
>10.3 then gdm

Question 4

Explain oral glucose tolerance test

Answer 4

Fast night before then if glucose >=5.6 then gdm
75g glucose
After 1 hour>= 8.9 then gdm
After 2 hours >= 7.8 then gdm

Question 5

What rbg is diagnostic of dm

Answer 5

> 11.1