other Flashcards
risk factors for GDM
prev GDM BMI >30 fam history ethnicity (asian/middle east, afro-caribbean) prev big baby
complications of GDM
pre-eclampsia
neonatal hypo, cv disease, obesity
macrosomia/obstruction
shoulder dystocia
what HbA1c target for conception
48mmol/mol
avoud pregnancy if HbA1c levels are
> 86mmol/mol
what supplements should be taken
5mg folic acid - 12 weeks prior and low dose aspirin for 12 weeks
if have GDM and on metformin deliver at ?
39-40wks
if GDM and diet controlled deliver at
40-41wks
if GDM and insulin controlled deliver at
38weeks
if type 1 diabetic deliver at
38 weeks
when is GDM tested for and how
booking if risk fcators otherwise 28weeks with 2 hr OGTT
diagnostic values for GDM
fasting >5.1
2 hr OGTT >8.5
glycaemic targets for GDM and how often should they monitor
min 4x a day in morning before bed a nd before meals
fasting 3.5-5.5 and 1hr - <7.8
how often are women with GDM screened for DM post natally
annually