Screening for GD
Desired time in pregnancy to screen for gestational diabetes
What is between 24 and 28 weeks
Insulin resistance peaks at what gestational age
What is 30 weeks
First line intervention for newly diagnosed gestational diabetes
What is Nutrition therapy
First on list of prioritization for interventions
What is monitor clients blood glucose level and fetal heart monitoring
Does every woman with GD experience symptoms
What is No
Population of pregnant women who should be screened for diabete
What is all pregnant women
Effects of Insulin
What is signals cells to uptake glucose, decreases gluconeogenesis, increase glycogen formation, increase lipid synthesis, etc...
MOA of metformin?
What is Inhibits glucose absorption, inhibits gluconeogenesis, and stimulates uptake by peripheral tissue.
Second on list of prioritization for interventions
What is educate the mother on assessing daily kick count
Name at least 2 symptoms of GD
What is polyuria, polydipsia, and polyphagia
How often should a woman who has a history gestational diabetes be screened for diabetes after pregnancy?
Insulin resistance peaks at what gestational age
What is 30 weeks
Only medication used to treat gestational diabetes that is not known to cross the placenta
What is Insulin
Third on list of prioritization for interventions
What is educate on adherence to an appropriate diabetic diet and restricted carbohydrate intake
When do symptoms start to occur in GD
What is midpoint of the pregnancy
What is a Non stress test used for
to assess fetal well-being
This molecule can be dangerously low during the resolution of acidosis and should be monitored carefully as well as included in resuscitating fluids.
What is Potassium
Normal Dose for Metformin
What is 500-1000 mg PO, 2x daily, up to 2500 mg daily
Fourth on list of prioritization for interventions
What is exercise
More symptoms of GD
What is dry mouth, blurred vision, confusion, and fatigue.
These are risk factors for undiagnosed pregestational diabetes and patients with these risk factors should be screening early in pregnancy. Two of three
What is 1. previous history of gestational diabetes or diabetes. 2. obesity, BMI >30 3. abnormal glucose metabolism
These are the main hormones that contribute to insulin resistance.
What is hpl (human placental lactogen), progesterone, ACTH, TNF alpha
Normal dose for Glyburide
What is 2.5-5 mg PO in the morning and 5 mg PO in the evening
Why is it important to give insulin
To normal blood glucose to reduce reduce the development of vascular and neuropathic complications.
What infection can be common in GD
What is yeast infection