GESTATIONAL DIABETES

Question 1

Women who do not begin pregnancy with diabetes become diabetic during pregnancy

( 2-3 % )

Answer 1

Gestational Diabetes

Question 2

Risk factors of Gestational Diabetes

Answer 2

• Human Placental Lactogen
• Estrogen and Progesterone
• Placental Insulinase
• Placental Insufficiency

Question 3

Diagnostic for Gestational Diabetes

Answer 3

OGTT ( Oral Glucose Tolerance Test )

Question 4

Manifestations ( Effect on Baby of Gestational Diabetes )

Answer 4

• Macrosomia
  (Wide shoulders, fractured clavicle)
• Organomegaly ( Heart & Liver)
• Preterm Delivery
• Hypoglycemia

On Mother:
- BP increased in 2nd and 3rd trimester.
- UTI
- PIH, Eclampsia, Hydramnios
- Dystocia
- Atony of uterus after delivery

Question 5

Medical Treatments for Gestational Diabetes. Only insulin is given in ?

Answer 5

2nd Trimester

Question 6

Medical Treatments for Gestational Diabetes. Diet?

Answer 6

6 meals ( because of insulin to prevent hypoglycemia.
Returns to pre- pregnancy state after 6 months