ACOG Bulletins: Obstetrics/MFM management
Questions with Correct Answers
Discussed range of positive threshold values for 1 hr glucose 50 g testing 130 - 140
Depends on the institution
plasma vs serum plasma: leftover when blood has clotted
serum: leftover when blood is anticoagulated
Serum and plasma glucose level Carpenter and Coustan conversion 180, 155, 144, 95
Plasma Level National Diabetes Data Group Conversion glucose levels for 3 hr testing 190,
165, 145, 105
benefits of treating gestational diabetes mellitus he rates of cesarean delivery, shoulder
dystocia, and hypertensive disorders were significantly reduced in women who were treated for
GDM
, Best monitoring for gestational diabetes the general recommendation is for daily glucose
monitoring four times a day, once after fasting and again after each meal.
Considerations in tailoring monitoring of glucose levels in each patient Once the patient's
glucose levels are well controlled by diet, the frequency of glucose monitoring may be modified
depending on gestational age, overall concerns for adherence, and likely need for future
adjustments to care. It is unusual to recommend obtaining fewer than two measurements per
day.
Optimal glycemic targets in glucose management In addition, no controlled trials have
been performed to identify optimal glycemic targets. The ADA and ACOG recommend that
fasting or preprandial blood glucose values be below 95 mg/dL and postprandial blood glucose
values be below 140 mg/dL at 1 hour or 120 mg/dL at 2 hours to reduce the risk of macrosomia
Goal of medical nutrition therapy in women with GDM is to achieve normal blood
glucose levels, prevent ketosis, provide adequate weight gain, and contribute to appropriate
fetal growth and development.
Questions with Correct Answers
Discussed range of positive threshold values for 1 hr glucose 50 g testing 130 - 140
Depends on the institution
plasma vs serum plasma: leftover when blood has clotted
serum: leftover when blood is anticoagulated
Serum and plasma glucose level Carpenter and Coustan conversion 180, 155, 144, 95
Plasma Level National Diabetes Data Group Conversion glucose levels for 3 hr testing 190,
165, 145, 105
benefits of treating gestational diabetes mellitus he rates of cesarean delivery, shoulder
dystocia, and hypertensive disorders were significantly reduced in women who were treated for
GDM
, Best monitoring for gestational diabetes the general recommendation is for daily glucose
monitoring four times a day, once after fasting and again after each meal.
Considerations in tailoring monitoring of glucose levels in each patient Once the patient's
glucose levels are well controlled by diet, the frequency of glucose monitoring may be modified
depending on gestational age, overall concerns for adherence, and likely need for future
adjustments to care. It is unusual to recommend obtaining fewer than two measurements per
day.
Optimal glycemic targets in glucose management In addition, no controlled trials have
been performed to identify optimal glycemic targets. The ADA and ACOG recommend that
fasting or preprandial blood glucose values be below 95 mg/dL and postprandial blood glucose
values be below 140 mg/dL at 1 hour or 120 mg/dL at 2 hours to reduce the risk of macrosomia
Goal of medical nutrition therapy in women with GDM is to achieve normal blood
glucose levels, prevent ketosis, provide adequate weight gain, and contribute to appropriate
fetal growth and development.
