Podcast
Questions and Answers
What is the target fasting blood glucose level for pregnant women with diabetes?
What is the target fasting blood glucose level for pregnant women with diabetes?
How many diabetic mothers are approximately delivered by Cesarean section?
How many diabetic mothers are approximately delivered by Cesarean section?
During which time frame should blood glucose levels be monitored to avoid hypoglycemia during pregnancy?
During which time frame should blood glucose levels be monitored to avoid hypoglycemia during pregnancy?
What is emphasized as important for optimal glycemic control and pregnancy outcome prior to conception?
What is emphasized as important for optimal glycemic control and pregnancy outcome prior to conception?
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What factor does NOT influence the mode of delivery for pregnant women with diabetes?
What factor does NOT influence the mode of delivery for pregnant women with diabetes?
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What complication is associated with excessive fetal growth in infants of diabetic mothers?
What complication is associated with excessive fetal growth in infants of diabetic mothers?
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Which factor is NOT linked to the severity of congenital malformations in infants of diabetic mothers?
Which factor is NOT linked to the severity of congenital malformations in infants of diabetic mothers?
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What does elevated Glycosylated Hemoglobin A (HbA1c) levels indicate when measured before 14 weeks of gestation?
What does elevated Glycosylated Hemoglobin A (HbA1c) levels indicate when measured before 14 weeks of gestation?
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Which complication is linked to hypoxia and poor glycemic control in infants born to diabetic mothers?
Which complication is linked to hypoxia and poor glycemic control in infants born to diabetic mothers?
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What is often evaluated during an ultrasound examination at 20-22 weeks of gestation in diabetic mothers?
What is often evaluated during an ultrasound examination at 20-22 weeks of gestation in diabetic mothers?
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Which factors allow for the continuation of pregnancy while awaiting labor onset?
Which factors allow for the continuation of pregnancy while awaiting labor onset?
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What is a critical method used to assess fetal condition during labor?
What is a critical method used to assess fetal condition during labor?
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What potential problem may occur during labor that is specifically related to the fetal position?
What potential problem may occur during labor that is specifically related to the fetal position?
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What microscopic change may be observed in the placenta of a diabetic pregnancy?
What microscopic change may be observed in the placenta of a diabetic pregnancy?
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Which sequence of events describes the pathology of diabetic ketoacidosis?
Which sequence of events describes the pathology of diabetic ketoacidosis?
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What fasting plasma glucose level is considered critical for a good fetal outcome in women with gestational diabetes mellitus?
What fasting plasma glucose level is considered critical for a good fetal outcome in women with gestational diabetes mellitus?
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At what 2-hour glucose level after a 75 gm glucose test is a diagnosis of gestational diabetes made according to WHO criteria?
At what 2-hour glucose level after a 75 gm glucose test is a diagnosis of gestational diabetes made according to WHO criteria?
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What percentage of total calories should carbohydrates comprise for normal weight women managing gestational diabetes?
What percentage of total calories should carbohydrates comprise for normal weight women managing gestational diabetes?
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Which of the following complications is NOT associated with gestational diabetes mellitus?
Which of the following complications is NOT associated with gestational diabetes mellitus?
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What is the recommended caloric intake range for overweight women diagnosed with gestational diabetes?
What is the recommended caloric intake range for overweight women diagnosed with gestational diabetes?
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What is the diagnostic criterion for overt diabetes if fasting plasma glucose levels exceed which threshold?
What is the diagnostic criterion for overt diabetes if fasting plasma glucose levels exceed which threshold?
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What proportion of women with gestational diabetes mellitus may eventually require insulin therapy?
What proportion of women with gestational diabetes mellitus may eventually require insulin therapy?
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Which of the following is a long-term risk for women who have experienced gestational diabetes?
Which of the following is a long-term risk for women who have experienced gestational diabetes?
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What is one of the primary causes of neonatal deaths in diabetic pregnancies?
What is one of the primary causes of neonatal deaths in diabetic pregnancies?
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What is the recommended calorie intake for an overweight pregnant woman with diabetes?
What is the recommended calorie intake for an overweight pregnant woman with diabetes?
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What percentage of risk for a diabetic child is associated if both parents are diabetic?
What percentage of risk for a diabetic child is associated if both parents are diabetic?
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How often should antenatal appointments be conducted after week 20 of pregnancy for women with diabetes?
How often should antenatal appointments be conducted after week 20 of pregnancy for women with diabetes?
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What is a critical management step to achieve better pregnancy outcomes in diabetic women?
What is a critical management step to achieve better pregnancy outcomes in diabetic women?
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What is a common characteristic of Type-1 diabetes mellitus?
What is a common characteristic of Type-1 diabetes mellitus?
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Which of the following factors may contribute to fetal overgrowth in diabetes?
Which of the following factors may contribute to fetal overgrowth in diabetes?
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What is the significance of detecting glycosuria before the 20th week of pregnancy?
What is the significance of detecting glycosuria before the 20th week of pregnancy?
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Which of the following constitutes a potential candidate for Gestational Diabetes Mellitus (GDM)?
Which of the following constitutes a potential candidate for Gestational Diabetes Mellitus (GDM)?
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Which test result indicates that a woman does not need a glucose tolerance test?
Which test result indicates that a woman does not need a glucose tolerance test?
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What is a key factor affecting insulin resistance during pregnancy?
What is a key factor affecting insulin resistance during pregnancy?
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When is routine screening for gestational diabetes typically recommended for high-risk individuals?
When is routine screening for gestational diabetes typically recommended for high-risk individuals?
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Which condition may signal the need for a glucose tolerance test during pregnancy?
Which condition may signal the need for a glucose tolerance test during pregnancy?
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What is the role of HDL cholesterol in the context of diabetes?
What is the role of HDL cholesterol in the context of diabetes?
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What is the primary factor that increases insulin requirement during pregnancy?
What is the primary factor that increases insulin requirement during pregnancy?
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Which of the following is NOT a complication associated with maternal diabetes during pregnancy?
Which of the following is NOT a complication associated with maternal diabetes during pregnancy?
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How does vasculopathy affect pregnant women with diabetes?
How does vasculopathy affect pregnant women with diabetes?
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What is a potential fetal complication associated with maternal diabetes?
What is a potential fetal complication associated with maternal diabetes?
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Which of the following is a common association seen in diabetes that may lead to polyhydramnios?
Which of the following is a common association seen in diabetes that may lead to polyhydramnios?
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What is a key predictive factor for the perinatal outcome in pregnant women with diabetic nephropathy?
What is a key predictive factor for the perinatal outcome in pregnant women with diabetic nephropathy?
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Which of the following factors can precipitate ketoacidosis in pregnant diabetics?
Which of the following factors can precipitate ketoacidosis in pregnant diabetics?
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What characterizes diabetic retinopathy in pregnant women with diabetes?
What characterizes diabetic retinopathy in pregnant women with diabetes?
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What condition is most likely to occur due to prolonged labor in diabetic pregnant women?
What condition is most likely to occur due to prolonged labor in diabetic pregnant women?
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What is the consequence of polyhydramnios during pregnancy?
What is the consequence of polyhydramnios during pregnancy?
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Study Notes
- Self-monitoring of capillary blood glucose is recommended for optimal glycemic control. Goals of capillary blood glucose levels (mg/dL) are: fasting ≤ 95; 2 hr. postprandial ≤ 120; 2 am to 6 am ≥ 60; Mean 100 and HbA1c ≤ 6 (ACOG-2005).
- Timing of delivery should be with fetal maturation provided diabetes is well controlled and fetal surveillance is normal.
- Mode of delivery depends on the level of glycemic control, fetal size, associated complications (if any [preeclampsia]), and pelvic adequacy. As such 50% of diabetic mothers are delivered by cesarean section. However, selected women may be considered for induction of labor and/or vaginal delivery.
- Pre-pregnancy counseling is ideally done for all such women for optimum glycemic control a pregnancy outcome.
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Description
Test your knowledge on the management of diabetes during pregnancy with this quiz. Explore key concepts such as fasting blood glucose levels, Cesarean delivery rates, and monitoring practices. Understand the implications of glycemic control on pregnancy outcomes and complications associated with diabetes in mothers.