NSPN 7200: CHAPTER 6+7DIABETES IN PREGNANCY/ POST-
DATES/ IOL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
PERCENTAGE OF PREGNANT WOMEN THAT DEVELOP GD IN
CANADA Ans✓✓✓3-20%
DEFINE PRE-GESTATIONAL DIABETES MELLITUS (PGDM)
Ans✓✓✓Pre-existing diabetes
WHAT PERCENTAGE OF PREGNANT PEOPLE WITH DM WILL
HAVE PGDM Ans✓✓✓10%
NAME THE RISK FACTOS/COMPLICATIONS OF PGDM
Ans✓✓✓- miscarriage **
- Fetal congenital malformation during orgnaogeneisis**
-Stillbirth**
- HTN, preeclampsia, macrosomia, preterm birth, c/s, neonatal/perinatal
morbidities and mortalities
After birth: hypoglycemia, jaundice, RDs, infant feeding
WHAT ARE THE MEDICAL APPROACHES TO CARE FOR
PGDM? Ans✓✓✓-Pre-conceptions counselling**
- Appropriate glycemic control** (hgb A1c)
,- Pharmacologic therapy
- Planned early delivery (between 38-40 weeks)
DEFINE GESTATIONAL DIABETES MELLITUS Ans✓✓✓glucose
intolerance of variable degree that begins or is first detected during
pregnancy (usually 2nd trimester)
DESCRIBE THE RISK FACTORS/ COMPLICATIONS OF GDM
Ans✓✓✓** No increased risk of congenital malformation
- Miscarriage not really an issue (no organogenesis)
-HTN, preeclampsia, preterm birth, c/s, macrosomia, stillbirth,
neonatal/perinatal morbidities and mortalities
WHAT MEDICAL APPROACHES TO CARE DO YOU EXPECT
FOR GDM Ans✓✓✓**Screening at 24-28 weeks
- Preferred approach: 50g glucose challenge test
Self-monitoring and management:
- Diet and exercise (if diagnosed) for two weeks--> if unmanaged then
insulin
EXPLAIN THE DIFFERENCE BETWEEN THE PREFERRED
APPROACH GLUCOSE CHALLENGE VS. THE ALTERNATIVE
APPROACH Ans✓✓✓Preferred
- 50 grams
- more selective of dx
, - Will use 75 grams after if further testing is needed
Alternative
- 75 grams
- Higher chance of "over-diagnosing"
Define Diabetogenic? Ans✓✓✓Hormones are secreted to cause high
levels of glucose in mom for baby and insulin resistance to ensure
maternal sources are not used up.
IDENTIFY THE RISK FACTORS FOR DEVELOPING GDM
Ans✓✓✓- overweight/obesity
- family history of DM
- PCOS
- previous diagnosis of GDM
- HTN
- High-risk populations: Hispanic, African-American, Indigenous
- Age over 25
- previous macrosomic infants
IDENTIFY THE SIGNS AND SYMPTOMS OF GESTATIONAL
DIABETES Ans✓✓✓- Usually asymptomatic
- Otherwise: polyphagia, polydipsia, polyuria, tingling limbs, blurry
vision, fatigue, sugar in urine
DATES/ IOL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
PERCENTAGE OF PREGNANT WOMEN THAT DEVELOP GD IN
CANADA Ans✓✓✓3-20%
DEFINE PRE-GESTATIONAL DIABETES MELLITUS (PGDM)
Ans✓✓✓Pre-existing diabetes
WHAT PERCENTAGE OF PREGNANT PEOPLE WITH DM WILL
HAVE PGDM Ans✓✓✓10%
NAME THE RISK FACTOS/COMPLICATIONS OF PGDM
Ans✓✓✓- miscarriage **
- Fetal congenital malformation during orgnaogeneisis**
-Stillbirth**
- HTN, preeclampsia, macrosomia, preterm birth, c/s, neonatal/perinatal
morbidities and mortalities
After birth: hypoglycemia, jaundice, RDs, infant feeding
WHAT ARE THE MEDICAL APPROACHES TO CARE FOR
PGDM? Ans✓✓✓-Pre-conceptions counselling**
- Appropriate glycemic control** (hgb A1c)
,- Pharmacologic therapy
- Planned early delivery (between 38-40 weeks)
DEFINE GESTATIONAL DIABETES MELLITUS Ans✓✓✓glucose
intolerance of variable degree that begins or is first detected during
pregnancy (usually 2nd trimester)
DESCRIBE THE RISK FACTORS/ COMPLICATIONS OF GDM
Ans✓✓✓** No increased risk of congenital malformation
- Miscarriage not really an issue (no organogenesis)
-HTN, preeclampsia, preterm birth, c/s, macrosomia, stillbirth,
neonatal/perinatal morbidities and mortalities
WHAT MEDICAL APPROACHES TO CARE DO YOU EXPECT
FOR GDM Ans✓✓✓**Screening at 24-28 weeks
- Preferred approach: 50g glucose challenge test
Self-monitoring and management:
- Diet and exercise (if diagnosed) for two weeks--> if unmanaged then
insulin
EXPLAIN THE DIFFERENCE BETWEEN THE PREFERRED
APPROACH GLUCOSE CHALLENGE VS. THE ALTERNATIVE
APPROACH Ans✓✓✓Preferred
- 50 grams
- more selective of dx
, - Will use 75 grams after if further testing is needed
Alternative
- 75 grams
- Higher chance of "over-diagnosing"
Define Diabetogenic? Ans✓✓✓Hormones are secreted to cause high
levels of glucose in mom for baby and insulin resistance to ensure
maternal sources are not used up.
IDENTIFY THE RISK FACTORS FOR DEVELOPING GDM
Ans✓✓✓- overweight/obesity
- family history of DM
- PCOS
- previous diagnosis of GDM
- HTN
- High-risk populations: Hispanic, African-American, Indigenous
- Age over 25
- previous macrosomic infants
IDENTIFY THE SIGNS AND SYMPTOMS OF GESTATIONAL
DIABETES Ans✓✓✓- Usually asymptomatic
- Otherwise: polyphagia, polydipsia, polyuria, tingling limbs, blurry
vision, fatigue, sugar in urine
