GDM Flashcards
1
Q
Long term maternal risks post GDM
A
- Recurrent GDM insubsequent pregnancies: increases with number of pregnancies with GDM, OR GDM in second pregnancy 13.2
- Progression to T2DM: 5-6.5% within 6 months of birthing,, 10.7% if untreated GDM, mean time to development 11.4 years post pregnancy
- Metabolic syndrome
- Cardiovascular disease
- Renal disease
2
Q
Hypoglycaemia
A
BSL < 4
Severe is BSL < 3
3
Q
BSL targets
A
Fasting BSL < 5.5
Post prandial 2hr BSL < 6.5
4
Q
Insulin profile for protophane
A
Onset: 1.5hr
Peak: 4-5hr
Duration: Up to 24hr
5
Q
Insulin profile for novorapid
A
Onset: 10-20mins
Peak: 1-3hr
Duration: 3-5hrs
6
Q
Post party follow up
A
See GP at 6–12 weeks postpartum for repeat OGTT
