Gestational Diabetes Quiz: Assess Your Risk and Management

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Questions and Answers

What blood sugar level indicates gestational diabetes according to the text?

150 mg/dL

220 mg/dL

100 mg/dL

190 mg/dL (correct)

At what week should pregnant women with GDM on insulin be delivered by induction of labor?

40 weeks

36 weeks

42 weeks

38 weeks (correct)

What is the recommended composition for daily calories in the diet of diabetic patients according to the text?

60% carbohydrates, 20% proteins, 20% fats

70% carbohydrates, 10% proteins, 20% fats

50% carbohydrates, 30% proteins, 20% fats

40% carbohydrates, 20% proteins, 40% fats (correct)

In which cases are pregnant women delivered by elective caesarean section according to the text?

GDM with ultrasound features of macrosomic fetus and poorly controlled blood sugar Signup and view all the answers

At what blood sugar level should GDM patients be delivered by induction of labor according to the text?

>200 mg/dL Signup and view all the answers

How should diabetic women be managed in terms of antenatal care according to the text?

Managed in a combined obstetric and diabetic clinic with specialist healthcare professionals Signup and view all the answers

What is the recommended percentage range for carbohydrates in the diet for Gestational Diabetes Mellitus (GDM)?

50%-60% Signup and view all the answers

When is insulin therapy typically initiated in Gestational Diabetes Mellitus (GDM)?

When blood glucose levels are maintained at normal levels through diet Signup and view all the answers

What is the goal of intra-partum GDM management during delivery?

To avoid shoulder dystocia and birth trauma Signup and view all the answers

When is delivery recommended for GDM patients who have maintained excellent control of blood glucose levels with diet and exercise?

At 40 weeks Signup and view all the answers

How soon after delivery does hyperglycemia typically resolve in most women with GDM?

Rapidly shortly after delivery Signup and view all the answers

Why is measuring a single random or fasting blood glucose level recommended before discharge from the hospital for women with GDM?

To check if hyperglycemia has resolved Signup and view all the answers

Which maternal complication during pregnancy is associated with Congenital malformations in Gestational Diabetes Mellitus (GDM)?

Polyhydramnios Signup and view all the answers

What is a fetal complication associated with Gestational Diabetes Mellitus (GDM) during the 2nd trimester?

Macrosomia Signup and view all the answers

How is Gestational Diabetes Mellitus (GDM) diagnosed?

Testing plasma glucose 2 hours after ingesting 75g of glucose Signup and view all the answers

What is a significant risk factor for GDM related to maternal history?

History of metabolic X syndrome Signup and view all the answers

Which fetal complication is NOT associated with Gestational Diabetes Mellitus (GDM)?

Birth asphyxia Signup and view all the answers

What type of delivery complication is more common in women with Gestational Diabetes Mellitus (GDM)?

Shoulder dystocia Signup and view all the answers

Study Notes

Gestational Diabetes Mellitus (GDM)

A blood sugar level of ≥92 mg/dL after a 1-hour gestational diabetes mellitus (GDM) screening test indicates GDM.
Pregnant women with GDM on insulin should be delivered by induction of labor at 38-39 weeks of gestation.

Dietary Recommendations for Diabetic Patients

The recommended composition for daily calories in the diet of diabetic patients is 15-20% protein, 20-30% fat, and 55-60% carbohydrates.

Delivery Complications and Management

Pregnant women with GDM are delivered by elective cesarean section in cases of fetal macrosomia or other complications.
GDM patients should be delivered by induction of labor if their blood sugar level is ≥100 mg/dL.
Diabetic women should be managed with frequent antenatal care visits, including fetal monitoring and ultrasound examinations.
The goal of intra-partum GDM management during delivery is to maintain blood glucose levels between 100-120 mg/dL.
Delivery is recommended for GDM patients who have maintained excellent control of blood glucose levels with diet and exercise at 39-40 weeks of gestation.

Post-Delivery Care and Complications

Hyperglycemia typically resolves in most women with GDM within 1-2 weeks after delivery.
Measuring a single random or fasting blood glucose level is recommended before discharge from the hospital for women with GDM to identify those at risk of developing type 2 diabetes.
Congenital malformations are a maternal complication associated with GDM during pregnancy.

Diagnosis and Risk Factors

GDM is diagnosed using a 2-step approach: a 1-hour screening test followed by a 3-hour oral glucose tolerance test (OGTT) if the screening test is positive.
A significant risk factor for GDM is a history of delivering a baby over 4 kg.
Macrosomia is a fetal complication associated with GDM during the 2nd trimester.
Shoulder dystocia is NOT a fetal complication associated with GDM.
Prolonged labor is a type of delivery complication more common in women with GDM.

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Description

Test your knowledge on managing Gestational Diabetes Mellitus (GDM) through Medical Nutritional Therapy and Insulin Therapy. Learn about recommended diets, caloric intake, macronutrient distribution, and insulin initiation criteria.

Gestational Diabetes Management Quiz

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