Notes in 03_Gestational Diabetes (GDM)

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Published	02/10/2024	{{c1::Gestational diabetes}} refers to {{c2::diabetes triggered by pregnancy secondary to reduced insulin sensitivity, and which resolves after g…
Published	02/10/2024	During pregnancy, there is an increase in the insulin requirements of the mother due to the anti-insulin effects of {{c1::HPL}}, {{c1::Progestero…
Published	02/10/2024	Effects of Gestational Diabetes is foetal hyper-insulinemia which causes foetal side effects such as {{c1::Macrosomia}} and {{c1::Shoulder Dystocia}}
Published	02/10/2024	Risk Factors of Gestational Diabetes {{c1::Increased BMI >30}} {{c1::Previous macrosomic baby > 4.5kg}} {{c1::Previous GDM}} {{c1::Family histor…
Published	02/10/2024	Foetal Complications of Gestational Diabetes {{c1::Macrosomia and Shoulder dystocia}} {{c1::Polyhydramnios (too much amniotic fluid around the baby)}}…
Published	02/10/2024	Maternal Complications of Gestational Diabetes {{c1::Pre-eclampsia}} {{c1::Maternal nephropathy, retinopathy, neuropathy}} {{c1::Hypoglycaemia}} {{c1:…
Published	02/10/2024	Neonatal Complications of Gestational Diabetes {{c1::Respiratory distress (Impaired lung maturity)}} {{c1::Neonatal hypoglycemia}} {{c1::Jaundice}}
Published	02/10/2024	Diagnosis of Gestational Diabetes Remembered as the {{c1::5678 Rule}}{{c1::Fasting GTT >5.6 mmol/L or glucose >7.8 mmol/L after 2 hours}}
Published	02/10/2024	If HbA1c is {{c1::> 6% / 43}} mmol/mol, {{c2::75g OGTT}} should be done to screen for Gestational Diabetes
Published	02/10/2024	Glycemic control during pre-conception OGTT between {{c1::4}} – {{c1::7}} mmol/l HbA1c {{c1::<6.5% / <48 mmol/mol}}
Published	02/10/2024	{{c1::5mg Folic Acid}} is offered for Diabetic Women from preconception until 12 weeks gestation to reduce risks of neural tube defects
Published	02/10/2024	Medications for Gestational Diabetes include {{c1::Metformin (First-line) }} or {{c1::Insulin (if fasting glucose >7 mmol/L)}}
Published	02/10/2024	In cases of Gestational Diabetes, consider {{c1::elective C-section}} if significant foetal {{c2::macrosomia}}
Published	02/10/2024	In cases of Gestational Diabetes, Post-birth, early feeding of baby is done to reduce {{c1::neonatal hypoglycemia}}
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