Diabetes in pregnancy Flashcards
What is the definition of gestational diabetes
Diabetes that is diagnosed in pregnancy but MUST go away after
If a pregnant woman develops diabetes, but still has it after the delivery of her baby, is it gestational diabetes?
Not a chance mate
What are the clinical features of gestational diabetes
Well…just like in normal diabetes you idiot
Polyuria
Polydipsia
Recurrent infections
Diabetic retionpathy
What investigations are done for gestaional diabetes to be diagnosed
Oral glucose tolerance test
HbA1C test
Retinal screening
USS
What are the treatments for gestational diabetes
Education about BG control
IV inuslin & dextrose
Glucagon injections
Metformin
What would a mum with gestational diabetes be encouraged to take, which most mum’s should be taking anyways lolz
Folic acid supplements
If a patient with any type of diabetes is given glucagon injections, what are they at an increased risk of
Hypoglycemia
Why is it difficult for women to control their BG whislt preggers?
As they tend to be eating and drinking less
What are some of the risk factors for gestational diabetes
Previous gestational diabetes
Family history
Asian ethnicity
Obesity
What are some of the complications of gestational diabetes
Misscarriage
Macrosomnia (diabetic cherub)
Pre-eclampsia
Congenital abnormalities
Fetal hypoglycemia
Type 2 diabetes
What is the baby of a pregnant women with gestational diabetes at a greater risk of
Death
Macrosomnia (diabetic cherub)
Hyperinsulinemia
Hyperglycemia
Hypoglycemia
Congenital abnormalities
What is macrosomnia also known as and what is the mum at an increased risk of during labour
Diabetic cherub
Increased risk of -> shoulder dystoica
Mums with gestaitonal diabetets are at a greater risk of shoulder dystoica as their babies may be rather large, what can be done to rescue the baby during it’s delivery?
C-section
or…
Break the poor bugger’s clavicle
For pregnant women who had diabetes before pregnancy, why do their insulin requirements increase
As the following all have an ANTI-INSULIN ACTION
Progesterone
B-hCG
Placental cortisol
What is the pathophysiology behind a diabetic cherub from occuring?
Increased parental BG
v
Increased fetal BG
v
Increased fetal insulin (when mum takes insulin)
v
Fetal hyperinuslinemia
v
Macrosomia
