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6 Cards in this Set
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- Back
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1. Pathophys of Gestational Diabetes?
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a. Human chorionic somatomammotropin (aka human placental lactogen) and hormones produced by the placenta act as anti-insulin agents leading to increased insulin resistance and generalized carbohydrate intolerance.
b. Bc these hormones increase in volume w/the size and function of the placenta, the carb metabolism abnormalities usually are not apparent until the late second Trimester or early third trimester. |
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2. Key difference with gestational Diabetes vs. progestational DM?
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a. Bc gestational DM doesn’t occur until the late 2nd or early third Tri-M, they are not at increased risk of congenital anomalies like women w/progestational DM.
b. They do, however, have ↑’d risk of fetal macrosomia and birth injuries as well as neonatal hypoglycemia, hypocalcemia, hyperbilirubinemia, and polycythemia like those w/progestational DM. |
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3. Best time to screen for diabetes during pregnancy?
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a. End of 2nd Tri-M between 24-28 wks in women w/low risk for GDM.
b. Pts w/1 or more risk factors should be screened at first prenatal visit. |
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4. Tx of all pts w/DM during pregnancy?
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a. ADA Diet of 2200 calories/day with 200-220 g of CHO/day.
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5. Classification system used for gestational DM?
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a. White’s classification.
b. A1= diet controlled Gestational diabetes. |
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6. A2 Gestational DM?
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a. Medication-controlled.
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