Womens' Health

Question 1

Risk factors for GDM

Answer 1

Previous GDM
Previous macrosomic baby e.g. >4.5kg
BMI >30
Ethnic origin - black Caribbean, Middle-Eastern, South Asian
FHx of DM in 1st degree relative

Question 2

Normal results on OGTT

Answer 2

Fasting <5.6mmol/L
2 hours <7.8 mmol/L

Question 3

Management of GDM, fastig <7mmol/L

Answer 3

Trial of diet + exercise for 1-2 weeks –> metformin –> insulin

Question 4

Management of GDM, fasting glucose >7mmol/L

Answer 4

Insulin +/- metformin

Question 5

Management of GDM, fasting glucose >6mmol/L +macrosomia (or other complications)

Answer 5

Insulin +/- metformin

Question 6

Management option in GDM for women who decline insulin or cannot tolerate metformin

Answer 6

Glibenclamide = a sulfonylurea

Question 7

GDM blood sugar targets - fasting

Answer 7

5.3 mmol/L

Question 8

GDM blood sugar targets - 1 hour post meal

Answer 8

7.8 mmol/L

Question 9

GDM blood sugar targets - 2 hours post meal

Answer 9

6.4 mmol/L

Question 10

Folic acid in women with existing DM

Answer 10

5mg
From preconception until 12 weeks gestation