GDM

Question 1

Definition of GDM

Answer 1

Gestational diabetes mellitus is defined as abnormal glucose tolerance that is detected or develops in pregnancy

Question 2

What are the risk factors to developing GDM?

Answer 2

• overweight/obesity
• excessive weight gain in pregnancy
• family history of diabetes
• over 30 years of age
• previous history of gestational diabetes
• poor obstetric history – unexplained stillbirth, miscarriage
• previous large baby or babies
• ethnicity (some women from certain ethnic backgrounds are at
  higher risk)
• polycystic ovarian syndrome.

Question 3

A women with a normal HbA1c, BMI and no family history of diabetes or GDM. Which test would you recommended?

Answer 3

• 1 hour Polycose test

Because there are no increase risk factors that suggest a GTT is required

Question 4

What is the normal range of a polycose test?

Answer 4

3.0 - 7.8

Question 5

A wahine with a normal BMI and a HbA1c of 40 mmoL and a sister who had GDM what glucose test would you recommended?

Answer 5

I would recommend the 2 hour GTT test. Because she had a high HbA1c and has a family history of GDM

Question 6

What is the normal range of the Fasting & 2hr glucose test?

Answer 6

Fasting Glucose < 5.5

2.0Hr Glucose < 9.0

Question 7

How much sugar is in the 1 hour test drink?

Answer 7

50g

Question 8

75g is how much sugar in the drink for which test?

Answer 8

GTT/Fasting