DM in pregnancy Flashcards
1
Q
When do you screen for gestational DM?
A
after 24 weeks
2
Q
What does the first trimester u/s screen for?
A
pregnancy dating and viability
3
Q
What is the second trimester u/s looking for?
A
anatomy scan and fetal echocardiogram at 18-20 weeks
4
Q
Third trimester u/s?
A
- growth assessment Q 4-6 weeks from 26-36 weeks for women with preexisting DM
- at least once at 36-37 weeks for gestational DM
5
Q
T/F
metformin and glyburide are safe in pregnancy?
A
True
6
Q
What are the fasting, 1 hour, and 2 hour levels that indicate GDM?
A
Fasting 92+
1 hour 180+
2 hour 153+
7
Q
When should you screen AFTER a pregnancy with GDM?
A
6-12 weeks, if normal then yearly
8
Q
What are the glycemic goals for GDM? (preprandial, 1hr post, 2 hr post)
A
Preprandial <95
1hr <140
2hr <120
9
Q
What are the glycemic goals with preexisting DM in pregnancy?
A
premeal, bedtime 60-99
peak postprandial 100-129
HbA1c <6%
