Diabetes in Pregnancy

Question 1

In order to prevent congenital malformations what A1c measurement is recommended prior to conception?

Answer 1

Less than 7%

Question 2

Women with T1DM or T2DM face which of the following risks in pregnancy:

a. Congenital malformations in baby
b. Big baby and neonatal hypoglycaemia
c. Stillbirth
d. High BP
e. All of the above

Answer 2

e. All of the above

Achieving a preconception HbA1C results in a decreased risk of spontaneous abortion, congenital anomalies, pre-eclampsia, progression of retinopathy in pregnancy, and intrauterine fetal death.

Question 3

What is the first line HTN treatment in pregnancy with DM?

a. Beta blocker
b. ACEi
c. Adalat

Answer 3

a. Beta blocker: ACEi is contraindicated in pregnancy so the first line is beta-blockers or calcium channel blockers. Adalat is a second line option.