ObAb: Gestational Diabetes Flashcards
Cut off values of POGS for the FBS, 1hr post prandial, 2 hours postprandial in GDM
FBS >= 92 mg/dL
1hr >=180 mg/dL
2hr >= 140 mg/dL
Cut off values for pregestational or overt DM (FBS, RBS with classical signs, HBA1c_
FBS >= 126 mg/dL
RBS >= 200
HBA1c >=6.5%
Cut off values for macrosomia in GDM mothers
> 4000 grams
What is the premeal glucose level goal for patients with GDM?
<= 100mg/dL
Preprandial <=95
What is the 2 hour post prandial glucose goal for patients with GDM?
<=120 mg/dL
1hr post prandial <=140mg/dL
What is the caloric requirement per kgBW in patients with GDM but the BMI is normal? (MNT)
30kcal/kg/day
If underweight, 40kcal/kg/day
If overweight 24kcal/kg/day
if obese, 12-15 kcal/kg/day
In patients with GDM, when will you start doing fetal wellbeing studies? (BPP+Biometry and CAS)
Start at 32-34 weeks AOG
BPP twice weekly
What is the dose of regular (basal/NPH) insulin in patients with GDM during the 2nd trimester
0.8 to 1.0 units/kg 2/3 given at prebreakfast, 1/3 given at night
1st trimester - 0.7 to 0.8 units/kg
3rd trimester - 1.0 to 2.0 units/kg
What is the dose of regular insulin in pregnant patient that is know to have DM already?
0.3-0.4 units/kg
In patients with GDM, on insulin, and with good control, when will you deliver the baby?
at 38 to 39 weeks AOG
If patient has poor control despite insulin, deliver at 38.5 weeks AOG
In patient with GDM, with good control vial diet, when wil you deliver?
at 40 weeks AOG
IR + Good control = 38 to 39 weeks
IR + Poor control = 38.5 weeks
If the GDM mother delivered and FDU, a 75g OGTT can be done at ___ weeks post partum?
6 weeks postpartum
All filipino gravidas are screened for T2D during
1st prenatal trimester
What is the POGS criteria for GDM after 2 hours p OGTT
> / 140mg/dL
If the OGTT is normal at 24 to 28 weeks, patients are re-tested at ____
32 weeks AOG
