Gestational Diabetes Mellitus

Question 1

gestational diabetes mellitus GDM

Answer 1

a form of glucose intolerance that results from the ANTI INSULIN action of HUMAN PLACENTAL LACTOGEN, a pregnancy hormone.

Question 2

starting insulin is based on pt weight in kg and gestational age as follows:

Answer 2

first trimester 0.7units/kg
second trimester 0.8units/kg
third trimester 0.9units/kg
NEXT, divide the total daily insulin requirement into 2 doses as follows:
-Morning shot (2/3 of total daily) 2/3NPH and 1/3 Regular
-Evening shot (1/3 of total daily) 1/2NPH and 1/2 Regular