Gestational Diabetes - Karilla

Question 1

Range for impaired fasting glucose (IFG)

Answer 1

100-125

Question 2

Range for Impaired Glucose Tolerance (IGT) after glucose challenge

Answer 2

140-199

Question 3

When is a normal screening for GDM

Answer 3

24-28 weeks

Question 4

Give the levels that 2 elevated values are needed for a positive test for GDM

Answer 4

Fasting

Question 5

Maternal complications during GDM

Answer 5

• Stillbirth
• Preeclampsia
• macroscopic babies
• polyhydramnios

Question 6

Increased long term risks for mother with GDM

Answer 6

T2DM
T1DM
Cardiovascular disease

Question 7

Fetal complications in GDM

Answer 7

• shoulder dystocia
• Brachial plexus injury
• Birth Trauma
• increased long term risk of obesity and metabolic syndrome

Question 8

What is the baby at risk of post natally

Answer 8

• hypoglycemia

- hyperbilirubinemia

Question 9

Risk factors for gestational diabetes?

Answer 9

• Maternal obesity
• Maternal age over 25
• Previous delivery of baby larger than 9 lbs
• history of unexplained perinatal loss or malformation
• Family history of diabetes especially first degree relatives
• Glycosuria at first pre-natal visit
• other settings that can be linked w/ DM (metabolic syndrome)
• PCOS
• Hypertension
• Glucocorticoid use at time of pregnancy - maybe for asthma!
• Ethnic groups w/ high prevalence of T2DM (Hispanic, AA, NA, South or East Asian, Pacific Islander)