Maternal diabetes

Question 1

Which of the following are RFs
BMI of > 30 kg/m²
previous macrosomic baby weighing 4.5 kg or above
previous gestational diabetes
first-degree relative with diabetes
family origin with a high prevalence of diabetes (South Asian, black Caribbean and Middle Eastern)

Answer 1

All of them

Question 2

Screenign

Answer 2

OGTT
At booking and 24-28 weeks

Question 3

Diabetes if

Answer 3

fasting glucose is >= 5.6 mmol/L
2-hour glucose is >= 7.8 mmol/L

Question 4

Mx

Answer 4

1st line exercise and diet
2nd line metformin
3rd line insuline

Question 5

Type of inuslin used

Answer 5

Short acting