Pregnancy

Question 1

38/F 14 weeks AOG BMI 27.8 what is the recommended weight gain range during pregnancy?

Answer 1

15-25 lbs or 7-11.5 kilos

Question 2

Insulin resistance in pregnancy increases starting?

Answer 2

16 weeks AOG

Question 3

The following pregnancy changes occur in parathyroids except
A. Approximately 30g of calcium transferred from maternal compartment to fetus
B. Transfer of calcium occurs durinf the 2nd trimester and reaches a nadir at 28-32 weeks
C. Urinary calcium excretion rate increases in parallel with increase in GFR
D. Pth related protein increase to throughout pregnancy

Answer 3

B. Transfer occur during the 3rd trimester

Question 4

Testing for GDM
One step criteria 75 OGTT fasting

Answer 4

1/3 positive= GDM
Fasting :92 mg/dl and above
1 hr: 180 mg/dl and above
2hr 153 mg/dl and above

Question 5

Testing GDM USING carpenter coulsan criteria

Answer 5

50 grams non fasting> 130 and above > 135 > 140
Then if positive proceed with 100g OGTT
2/4
Fasting 95 and above
1 hr 180 and above
2 hr > 155 and above
3 hr > 140 and above

Question 6

Using CGM can help achieve a1c target in DM and pregnancy
What are the range and targets ?
Time in range:
Time below range:
Time above range:
(ADA 2024 )

Answer 6

Time in range: 63-140mg/dl - > 70%
Time below range level 1 < 63 - < 4%
Time below range level 2 <54 - < 1%
Time above range: > 140 - < 25%