gestational diabetes

Question 1

what are the hormones responsible for normal GDM

Answer 1

human placental lactogen, glucocorticoids, progesterone, TNF-alpha and FFA

Question 2

definition of GDM

Answer 2

glucose intolerance diagnosed during pregnancy

Question 3

maternal complications of GDM

Answer 3

preecalmpsia, polyhydramnios, asymptomatic bacteria and UTI

Question 4

fetal complications of GDM

Answer 4

stillbirth, macrosomia, hypoglycemia, jaundice, hypocalcemia, tetralogy, truncus arteriosus

Question 5

screening protocol for GDM

Answer 5

at 24 and 48 weeks a 50g glucose challege, measured at 1 hour, then a 100g at 3 hour if necessary

Question 6

treatment for GDM

Answer 6

metformin and glyburide

Question 7

risk of progression to Type2DM is correlated with

Answer 7

severity of impairment of insulin secretion

Question 8

increased risk of progression to T2DM postpartum correlated with what test?

Answer 8

failure of oral glucose challenge 6-12 weeks postpartum