Gestational diabetes

Question 1

What is gestational diabetes

Answer 1

Gestational diabetes mellitus (GDM) has traditionally been defined as any degree of glucose intolerance with onset or first recognition during pregnancy

Question 2

What are Sx of gestational diabetes?

Answer 2

Polyuria, polydipsia

High BMI

Question 3

What are risk factors for gestational diabetes?

Answer 3

• High BMI
  
  • Previous macrosomic baby or gestational diabetes
  • Family history/ethnic prevalence of diabetes
  • PCOS
  • Advanced maternal age >40
  • Low fibre or high glycaemic index diet

Question 4

How is gestational diabetes diagnosed?

Answer 4

75g OGTT

* Fasting venous plasma glucose ≥ 5.1 mmol/l, or
* One hour value ≥ 10 mmol/l, or
* Two hours after OGTT ≥ 8.5 mmol/l

Question 5

When should gestational diabetes be screened for?

Answer 5

Screening for GD should be done in women who’ve had it before immediately and at 24-28 weeks, and for those with other risk factors at 24-28 weeks.

Question 6

How is GD treated?

Answer 6

Diet and exercise
Glucose monitoring
Insulin