Gestational Diabetes

Question 1

fasting blood glucose target level in gestational diabetes

Answer 1

FBG less than or equal to 95 mg/dL
1 hour postprandial glucose less than or equal to 130-140 mg/dL
2 hour postprandial blood glucose less than or equal to 120 mg/dL

Question 2

OGTT abnormal results in gestational diabetes

Answer 2

after admin of 100 gm or 75 gm glucose, fasting glucose is greater than 95 mg/dL. 1 hour after glucose load is over 180 mg/dL. 2 hour post glucose load is over 155 mg/dL. 3 hour post glucose load is over 140 mg/dL

Question 3

drugs in tx of diabetes in pregnancy

Answer 3

NOT METFORMIN. use insulin, either rapid acting (lispro, aspart), short acting (regular insulin), or intermediate acting (NPH)

Question 4

follow up after delivery of baby

Answer 4

oral GTT 6-12 weeks postpartum

Question 5

glucose levels maintained at what during labor and delivery?

Answer 5

between 70-90. otherwise, less than or equal to 95 mg/dL for fasting.

Question 6

long term complications for mother with gestational diabetes

Answer 6

more likely to get type I or II, inc risk of CV diseaes, ind risk of gestational diabetes in future pregnancies

Question 7

long term complications for child whose mother had gestational diabetes

Answer 7

inc risk of developing DM, childhood obesity, impaired fine and gross motor functions, and higher rates of inattention and/or hyperactivity

Question 8

risk factors of dev gestational diabetes

Answer 8

current use of glucocorticoids, age greater than 25, previous delivery of baby greater than 9 pounds, glycosuria at first prenatal visit, increased BMI, family history, polycystic ovary syndrome