Gestational Diabetes

Question 1

What is gestational diabetes?

Answer 1

Diabetes triggered by pregnancy

Question 2

How does pregnancy increase risk of diabetes?

Answer 2

Increased insulin resistance

Question 3

What are risk factors for gestational diabetes?

Answer 3

Previous gestational diabetes
Previous macrosomic baby 
BMI >30
Asian ethnicity 
FHx

Question 4

When is gestational diabetes screened for?

Answer 4

28 weeks

Anyone with RFs
Glycosuria
LGA

Question 5

How is suspected gestational diabetes screened for?

Answer 5

Oral glucose tolerance test

> 5.6 fasting
7.8 post prandial

Question 6

What is an OGTT?

Answer 6

Fasting blood glucose taken

Given 75g glucose drink

Blood glucose taken again after 2 hours

Question 7

How is gestational diabetes managed?

Answer 7

Offer lifestyle advice
Metformin
Insulin

Question 8

How is gestational diabetes followed up postnatally?

Answer 8

Stop maternal medications
Repeat glucose check 6 weeks post natal

Be aware of neonatal hypoglycaemia

Question 9

What are maternal complications of gestational diabetes?

Answer 9

Shoulder dystocia

T2DM after birth

Question 10

What are fetal complications of gestational diabetes?

Answer 10

Macrosomia
Organomegaly
Neonatal hypoglycaemia
Polyhydramnios