Gestational Diabetes

Question 1

What is GD

Answer 1

high blood sugar that develops during pregnancy, and disappears after birth

Question 2

When is GD common, in terms of trimesters

Answer 2

2nd and 3rd

Question 3

Normal threshold of glucose in urine

Answer 3

180mg/dl

Question 4

We do we test for GD according to the NICE guidelines

Answer 4

If urine dipstick shows glycosuria 2+.

Question 6

Women with previous GD are offered what

Answer 6

OGTT (75mg oral glucose tolerance test) OR early self monitoring

Question 7

Explain the use of OGTT

Answer 7

Fasting sample, then 75mg glucose, then 2nd sample after 2 hours.

Question 8

All women with GD risk factors should be offered with 75mg OGTT when?

Answer 8

At 24-28 weeks of gestation

Question 9

Women with a Gastric bypass are not suitable candidates for OGTT, why?

Answer 9

The dumping effect.

Question 10

A possible complication of GD, is Fetal Macrosomia, what is it

Answer 10

Infants born with an abnormally high weight

Question 11

Fetal macrosomia also then risks Shoulder dystocia, what is that

Answer 11

The baby’s shoulder is obstructed by the mother’s pubic bone

Question 12

Management of GD

Answer 12

Diet control, exercise, and aiming for a fasting blood glucose level of «5.3

Question 13

What if, after all the management listed before for 2 weeks, the glucose is not controlled, what action do we take

Answer 13

Start medicine, METFORMIN, INSULIN, and GLIBENCLAMIDE

Question 14

First thing we do for pregnant women who already have diabetes

Answer 14

Start them on high dose folic acid

Question 15

Fetal complications of diabetes

Answer 15

Risk of preeclampsia, diabetic retinopathy, fetal macrosomia

Question 16

How do we reduce risk of preeclampsia?

Answer 16

Low dose aspirin from 12 weeks gestation

Question 18

Which OGTT result confirms GD?

Answer 18

fasting >5.6mmol/L