CORRECT ANSWERS(VERIFIED ANSWERS)|A
GRADE
Diabetes Mellitus
is an endocrine disorder in which the pancreas cannot produce adequate insulin to
regulate body glucose level.
Gestational Diabetes
any degree of glucose intolerance with onset or first recognition during pregnancy
Pre-gestational Diabetes
Diabetes diagnosed before pregnancy
- DOUBLE risk of serious injury at birth
- TRIPLE likelihood of caesarean delivery
- QUADRUPLE incidence of Neonatal Intensive Care Unit Admission
What are the implication of DM during pregnancy?
Screening Versus Diagnostic Testing
the purpose of screening is to identify asymptomatic individual with a high probability of
having or developing a specific disease
- Increasing maternal age and weight
- Previous GDM
- Previous macrosomic infant
- Family history of diabetes among first degree relatives
- Ethnic background with a high prevalence of diabetes
- Previous GD or impaired Glucose Tolerance Test( GTT)
- Persistent glycosuria
What are the risk factors of GDM
without
Screen all pregnant women
women with GDM ___ risk factors appear to be no different from women with GDM and
risk factors
first
26th week
All women should undergo screening at ___ prenatal visit and after ___ week AOG if
negative on previous testing
50 g
- the screening test for GDM, a ___ g oral glucose challenge, may be performed in the
fasting or fed state.
- Sensitivity is improved if the test is performed in the fasting state
130 - 140 MG/DL
A plasma value above ____ - ___ mg/dl one hour after is commonly used as threshold
for performing a 3 hour OGTT
24 to 28 weeks
If initial screening is negative, repeat testing is performed at __ to __ weeks
1 hour