Notes in OG4.3 Diabetes in pregnancy

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Published	10/04/2024	Type 1 diabetes mellitus increases risk of perinatal mortality by {{c1::5}}
Published	10/04/2024	Type 1 diabetes mellitus increases risk of congenital malformations by {{c1::10}}
Published	10/04/2024	hCG, progesterone, human placental lactogen, and cortisol all act to counter the effects of {{c1::insulin}}
Published	10/04/2024	Gestational diabetes occurs when insulin requirements are unable to match the {{c1::increase in anti-insulin hormones}}
Published	10/04/2024	{{c1::Glucose::Glucose/insulin}} crosses the placenta, {{c1::insulin::glucose/insulin}} does not
Published	10/04/2024	Patients with pre-gestational diabetes should have their sugar controlled with {{c1::insulin}}
Published	10/04/2024	Women with pre-gestational diabetes should have glucose values between {{c1::4 - 6 mmol/L}}
Published	10/04/2024	To safeguard against hypoglycemia, family of patients with pregestational diabetes should be given a {{c1::glucagon kit}}
Published	10/04/2024	{{c1::Fundoscopy}} is important in pregestational diabetes as pregnancy can cause progression of diabetic retinopathy
Published	10/04/2024	Congenital CNS abnormalities in patients with pregestational diabetes → {{c1::anencephaly}} and {{c1::spina bifida }}
Published	10/04/2024	Congenital Cardiac abnormalities seen in patients with pregestational diabetes:- {{c1::VSD}}- {{c1::Transposition of great vessel}}- {{…
Published	10/04/2024	Congenital Renal abnormalities seen in patients with pregestational diabetes:- {{c1::Agenesis}}
Published	10/04/2024	Congenital skeletal abnormalities seen in patients with pregestational diabetes:- {{c1::Caudal regression}}
Published	10/04/2024	Congenital pulmonary abnormality seen in patients with pregestational diabetes:- {{c1::pulmonary hypoplasia}}
Published	10/04/2024	Screen for gestational diabetes (one-step approach) ={{c1::fasting 75g oral glucose tolerance test at 24 - 28 weeks gestation::test at what gesta…
Published	10/04/2024	Guidelines for diagnosing gestational diabetes:Fasting glucose > {{c1::5.1}} mmol/L1 hour post prandial glucose > {{c1::10}} mmol/L2 h…
Published	10/04/2024	Indication for timed random plasma glucose:{{c1::Booking visit}}{{c1::28 weeks }}{{c1::whenever glycosuria detected }}
Published	10/04/2024	In patients with gestational diabetes, blood glucose should be checked {{c1::7 times a day::frequency}}
Published	10/04/2024	Women with gestational diabetes should be seen every {{c1::2 weeks}} until {{c1::34 week}} and then {{c1::weekly}}
Published	10/04/2024	Medium to long term glucose control in women with gestational diabetes can be checked using {{c1::fructosamine}} and {{c1::HbA1c}}
Published	10/04/2024	Risk of pre-eclamptic toxaemia is {{c1::doubled}} in women with gestational diabetes
Published	10/04/2024	Delivery patients with gestational diabetes should be done at {{c1::39}} weeks
Published	10/04/2024	High glucose levels prior to delivery predispose to neonatal {{c1::hypoglycemia}}
Published	10/04/2024	Patients with gestational diabetes should undergo {{c1::continuous CTG::fetal monitoring}}
Published	10/04/2024	Slow labour in patients with gestational diabetes may be due to {{c1::cephalopelvic diproportion}}
Published	10/04/2024	When can insulin be discontinued in patients with gestational diabetes?{{c1::When the woman is eating immediately post partum}}
Published	10/04/2024	All women with gestational diabetes must attend hospital for a {{c1::6 week::timing}} check and given a {{c1::oral glucose tolerance te…
Published	10/04/2024	Oral glucose tolerance test positive at 6 week postpartum check → {{c1::Type 2 diabetes mellitus::dx}}
Published	10/04/2024	Gestational DM affects {{c1::10%::%}} of pregnancies
Published	10/04/2024	Mothers with pre-gestational DM should have a {{c1::fetal ECHO::test}} performed at 22-24 weeks
Published	10/04/2024	Preconceptual managment for pre-gestational DM includesHbA1c < {{c1::6.5}}% before conception{{c1::Folic acid 5 mg/day::RX}} for up to {{c1::12::#}…
Published	10/04/2024	Mothers with pre-gestational DM delivery planning{{c1::SVD::delivery method}} if possibleif estimated fetal weight > {{c1::4.5::#}} kg -> {{c1::…
Published	10/04/2024	If breastfeeding and mother has pre-gestational DM:decrease insulin dose with first meal after deliverycheck neonatal blood glucose at {{c1::4-6::rang…
Published	10/04/2024	NICE guidelines for gestational DMfasting glucose < {{c1::5.3}} mmol/Lpostprandial glucose < {{c1::7.8}} mmol//L
Published	10/04/2024	Mothers with gestational DM are at a {{c1::2::#}}x increased risk of preeclampsia
Published	10/04/2024	Mothers with gestational DM are at a {{c1::7::#}}x increased risk of developing T2DM
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