22 Questions
What is the characteristic of insulin resistance during pregnancy?
Development of insulin resistance from the second trimester onwards
What is the recommended target for premeal capillary blood glucose in women with gestational diabetes who receive insulin?
5.5 mmol/L
What is the consequence of poor glycemic control during pregnancy?
Adverse outcomes
Why is it important to emulate normal physiological insulin patterns during pregnancy?
To provide good glycemic control and reduce the risk of congenital abnormalities
What is the characteristic of pregnancy in terms of diabetes?
Diabetogenic state
By what week of gestation may women require up to two to three times their normal insulin dose?
36th week
What is the primary advantage of self-monitoring of blood glucose over urine testing?
It provides a more accurate estimate of mean blood glucose levels
What is the primary goal of adjusting insulin doses in diabetes management?
To maintain tight glucose targets
What is the limitation of traditional basal bolus therapy in managing gestational diabetes?
It does not account for physiological levels of insulin resistance
What is the primary advantage of using insulin dosing algorithms based on fasting glucose and pre-meal glucose levels?
They can serve as a guide for insulin replacement
What is the key to minimizing fetal, neonatal, and maternal complications in diabetes management?
Well-controlled diabetes
What is the primary goal of nutritional therapy in managing gestational diabetes?
To find the most physiological and best possible method of insulin replacement
What is the primary concern with using insulin therapy during pregnancy?
Potential harm to the fetus
Why is insulin preferred over oral agents for glycemic control in GDM?
Insulin is more effective in reducing fetal exposure to hyperglycemia
What is the primary mechanism underlying insulin resistance in pregnancy?
Anti-insulin effects of placental hormones
How does insulin sensitivity change during pregnancy?
Insulin sensitivity improves in early pregnancy and worsens in late pregnancy
What is the primary goal of insulin therapy during pregnancy?
Tight glycemic control
Why is postprandial hyperglycemia a significant concern in pregnancy?
It may increase the risk of fetal exposure to hyperglycemia
How often should a pregnant woman with gestational diabetes be seen for insulin dose adjustments?
Every 1-2 weeks
Why do insulin requirements often decrease during early pregnancy?
Due to increased risk of hypoglycemia
What is the primary reason for the increase in insulin requirements during the third trimester?
Rising placental lactogen, cortisol, and growth hormone levels
What is the approximate increase in insulin needs during the last 10 weeks of pregnancy?
2-3 times pre-pregnancy dose
This quiz assesses your understanding of insulin requirements and glucose management during pregnancy. Learn how pregnancy affects insulin sensitivity and resistance, and how to adjust insulin regimens accordingly. Test your knowledge of gestational diabetes and its implications for maternal health.
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