Type 1
Medication for management
Insulin
Medication for management
oral hypoglycemic (metformin)
Risk Factors
Obesity, age, history of DM2
Neonatal blood glucose of 29 mg/dL
neonatal hypoglycemia
Patient's glucose of 95 mg/dL
Fasting glucose
Lifestyle management
Glucose monitoring
Lifestyle management
Diet
How often do you assess glucose intrapartum?
4 hours
A newborn that is much larger than usual
macrosomia
Glucose range after administering OGTD in the first hour
180 mg/dL or higher
Manifestations of hypoglycemia
hunger, shakiness, pallor
Manifestations of hyperglycemia
excessive thirst, frequent urination, blurred vision
How often do you assess glucose when out of range?
every 15- 30 minutes
Shoulder dystonia
An obstetric emergency where the anterior fetal shoulder is stuck on the maternal pubic symphysis delaying birth.
How many elevated glucose readings needed to diagnose gestational diabetes?
2
Treatment for hypoglycemia
15 grams of carbohydrates
Nutritional Portions
1/2 plate vegetables, 1/4 protein, 1/4 carbohydrates
Risk increase above this age
35
Signs and symptoms of hypoglycemia
high pitched cry, irritable, lethargy.
50 Grams
Patient received carbohydrate for hypoglycemia and you re-check glucose of 60 mg/dL. What do you do next?
Give 15 grams of carbohydrates. Goal to be at least 70 mg/dL.
Lifestyle risk
obesity
OTGG test should be conducted
24-28 weeks of gestation
neonate will have trouble with suckling (poor feeding)
What readings are expected with in the 3rd hour of OGTT?
140 mg/dL or higher