diabetes in pregnancy Flashcards
1
Q
gestational diabetes is highest in what ethnicities?
A
hispanic, asian, Native Am, pac islander, Af Am
2
Q
when to test for GDM?
A
b/w week 24-28
3
Q
how does insulin sensitivity change in early pregnancy
A
can be normal or increased
4
Q
how does insulin sensitivity change in late pregnancy
A
decreased
5
Q
there is an exagerated decline in ____in all pregnant women, but especially in GDM
A
adiponectin
6
Q
miscarriage rates are related to what preconceptional control?
A
HgA1c
7
Q
what did that HAPO study show?
A
outcome is related to degree of hyperglycemia
8
Q
A1c of 8% is ____mg/dl glu
A
180
9
Q
goal blood sugars for pregestational DM 1 hour post-prandial
A
under 130
10
Q
1st line tx if patient does not respond to diet & exercise
A
glyburide
