Gestational diabetes

Question 1

What are the risks to women during pregnancy?

Answer 1

Pre-eclampsia, HTN, early delivery, IOL and caesarean section

Question 2

What are the risks in the neonate?

Answer 2

Macrosomia, foetal death, shoulder dystocia, nerve palsy, hypoglycaemia and respiratory distress

Question 3

Diagnosis of GDM

Answer 3

75g OGTT at 24-28 weeks in all women not previously diagnosed with diabetes

Question 4

Risk factors for GDM

Answer 4

Previous hyperglycaemia in pregnancy, age > 40 yrs, ethnicity, family history of DM, pre pregnancy BMI > 30, previous macrosomia, PCOS, corticosteroids, antipsychotics

Question 5

What is meant by diabetes in pregnancy?

Answer 5

Women who probably have pre-existing diabetes prior to pregnancy

Question 6

Options for early testing for diabetes in pregnancy?

Answer 6

OGGT (poorly tolerated in early pregnancy), fasting glucose, random glucose, HBA1c

Question 7

When should women have a OGTT following pregnancy?

Answer 7

6 weeks to 3 months