Diabetes in pregnancy Flashcards
1
Q
List 6 risk factors for GDM
A
- ethnicity - asian
- High BMI
- previous GDM
- increased maternal age >40
- family h/o diabetes
- PCOS
2
Q
What is the definition of GDM
A
- any degree of glucose intolerance which is first discovered or onset occurs in pregnancy
3
Q
If birth weight >95th centile what is the OR for fetal death cf birth weight between 25th and 75thc?
A
OR of 3.4
4
Q
What does increased EPO in the amniotic fluid indicate?
A
fetal hypoxia - drives kidneys to make more EPO
5
Q
What are the BSL required to diagnose GDM
A
fasting BSL >5.1
1 hr post 75g glucose load >10
2 hr post 75g glucose load >8.5
6
Q
How much higher is the stillbirth rate in T1DM/T2DM vs non diabetic pregnancy?
A
4-5 x higher
7
Q
of stillborn babies born to diabetic mothers, what percentage are structurally normal?
A
80%
