SPECIAL CONSIDERATIONS

Question 1

what are the special considerations?

Answer 1

dawn phenomena
rebound phenomena
diabetes and preg

Question 2

fasting hyperglycemia due primarily to AM cortisol secretion

tx: increase appropriate insulin dose

Answer 2

dawn phenomena

Question 3

hyperglycemia following episode of hypoglycemia

tx: decrease insulin, decrease exercise, increase food

Answer 3

rebound phenomena

Question 4

are complications of diabetes and pregnancy?

*considerations?

Answer 4

increased tissue resistance to insulin

50% of women with gestational diabetes will be diagnosed with overt DM at some point

congenital anomalies from hyperglycemia 4-8 weeks of pregnancy

*counseling
evaluation
tight glycemic control, HbA1C levels 6%
-also hydramnios, preeclampsia-eclampsia, infections, prematurity

Question 5

what are the indications for full diagnostic workup?

Answer 5

> 140 mg/dL

fasting: 95
1 hour: 180
2 hour: 155
3 hour: 140