Show:
Prevalence and Risks
Diagnosis
Monitoring
Insulin
Oral Meds
100

Some risks associated with Gestational Diabetes to the mother

What are preeclampsia (9.8%>18%), Cesarean Delivery( 9.5%>17%>25%)

100
Amount of glucose in the 1 hour test
What is 50 grams?
100
The optimal 1 hour post prandial value according to the GDM Practice Bulletin
What is 140?
100
Onset of action of regular insulin
What is 30-60 minutes?
100

True/False: It is appropriate to continue this metformin if a patient was on it prior to pregnancy for PCOS

True

200
Some risks associated with GDM to the fetus
What are macrosomia, neonatal hypoglycemia, hyperbilirubinemia, operative delivery, shoulder dystocia, birth trauma?
200
Optimal time to screen for GDM
What is 24-28 weeks?
200
The optimal 2 hour post prandial value
What is 120?
200
Onset of action of NPH insulin
What is 1-3 hours?
200

Appropriate first line therapy for GDM

What is insulin (preferred) or metformin

NOT glyburide

-evidence indicates that glyburide treatment should not be recommended as a first-choice pharmacologic treatment because, in most studies, it does not yield equivalent outcomes to insulin or metformin. 

300

The percentage of pregnancies complicated by diabetes (either gestational or pregestational)

What is 7% 

300

BMI at which early screening is indicated

What is 40?

OR BMI 25 with at least one other risk factors: 1 deg family or personal history of diabetes, HTN, cardiovascular disease, high cholesterol, PCOS, high risk ethnicity, previous birth >4000g, etc

300
Optimal percentage of carbohydrate intake
What is 33-40%?
300
Peak of action of regular insulin
What is 1-2 hours?
300

Screening test for GDM women 4-12 weeks postpartum

What is 75g load 2 hour OGTT?

400

Percentage of women who will develop diabetes later in life if they had GDM

What is up to 70% (within 22-28 years)

Bonus: 60% of latina patients will develop DM within 5 years from index pregnancy

400
Name of the criteria that establishes the three hour values 95, 180, 155, 140
What are the Carpenter and Coustan Criteria?
400

How to monitor GDM postpartum

What is 2-hr GTT 4-12 weeks postpartum

400
Peak of action of NPH
What is 5-7 hours?
400
The three ways that metformin works
What are inhibit hepatic gluconeogenesis, inhibits hepatic glucose absorption, stimulates glucose uptake in peripheral tissues?
500
Ethnic groups with a prevalence for GDM
What are Hispanic, African American, Native-American, Asian, Pacific-Islander women?
500
Screening by history alone will miss this percentage of GDM women
What is 50%
500

When to repeat screen for diabetes if postpartum testing is normal?

The ADA and ACOG recommend repeat testing every 1–3 years for women who had a pregnancy affected by GDM and normal postpartum screening test results.

500

Weight-based dose for starting insulin?

What is typical starting total dosage is 0.7–1.0 units/kg daily. This dosage should be divided with a regimen of multiple injections using long-acting or intermediate-acting insulin in combination with short-acting insulin.

500

What is MOA of glyburide

What is increase insulin secretion and insulin sensitivity of peripheral tissues at pancreatic beta-cells