gestational diabetes, Kirila Deville

Question 1

Risk factors of GDM

Answer 1

1) mom over 25
2) previous baby born over 9 lbs
3) 1st degree relative with diabetes
4) glucocorticoid use during pregnancy
5) PCOS
6) hypertension
7) previous perinatal malformation
8) glycosuria
9) maternal obesity
10) metabolic syndrome

Question 2

ethnic groups with high prevalence of T2DM

Answer 2

Hispanics
African americans
Native americans
South or East Asians
Pacific Islanders

Question 3

impaired fasting glucose

Answer 3

100-125, over 125 then diabetes

Question 4

impaired glucose tolerance

Answer 4

140-199, after glucose challenge

Question 5

GDM screen, glucose challenge

Answer 5

give 50 gm oral glucose then measure after 1 hour

• if less than 130 then normal
• if over 130 then give 100 gram of oral glucose in a fasting state
• measure glucose during fasting, 1 hr, 2 hr, 3 hr

Question 6

GDM screen glucose challenge positive result

Answer 6

if any 2 are over limit then positive result
-fasting over 95
1 hr over 180
2 hr over 155
3 hr over 140

Question 7

maternal complications of GDM

Answer 7

stillbirth
preeclampsia
hydramnios
babies that are large for gestationl age

Question 8

increased long term risk for mother with GDM

Answer 8

type 1 DM
type 2 DM
CV disease

Question 9

fetal complications

Answer 9

shoulder dystocia
brachial plexus injury
birth trauma
increased long term risk of obesity and metabolic syndrome