20 Questions
Which committee endorses the Queensland Clinical Guidelines?
Queensland Clinical Guidelines Steering Committee
Which of the following is a risk factor for gestational diabetes mellitus (GDM)?
Previous macrosomia
Which test is used to screen and diagnose GDM during the first trimester?
HbA1c
Which ethnicities are considered as risk factors for GDM?
Asian, Indian subcontinent, Aboriginal, Torres Strait Islander, Pacific Islander, Maori, Middle Eastern, non-white African
What is the suggested fasting target for capillary blood glucose levels in GDM management?
< 5 mmol/L
When should an oral glucose tolerance test (OGTT) be performed during pregnancy?
First trimester
What is the diagnostic criteria for GDM based on fasting blood glucose level (BGL) during an OGTT?
≥ 5.1 mmol/L
What is the BMI threshold for being considered a risk factor for GDM?
30 kg/m2
What is the purpose of postprandial capillary blood glucose level self-monitoring in GDM management?
To monitor blood glucose levels after meals
What is the recommended action if there is clinical suspicion of diabetes during the third trimester of pregnancy?
Repeat testing
According to the Queensland Clinical Guideline, what is the recommended mode of birth for women with gestational diabetes mellitus (GDM) requiring metformin and/or insulin?
Vaginal (spontaneous or IOL)
When should metformin be ceased for women with GDM requiring metformin and/or insulin before a procedure?
After evening dose prior to procedure
What should be done if a woman with GDM requiring insulin is scheduled for a morning induction of labour (IOL) and labour is not yet established?
Eat breakfast and give usual rapid acting insulin
What should be done if a woman with GDM requiring insulin is scheduled for an afternoon induction of labour (IOL) and labour is not yet established?
Give usual mealtime and bedtime insulin
What should be done if a woman with GDM requiring insulin is on an IV insulin infusion and labour is not yet established?
Consult with an anaesthetist
What should be done if a woman with GDM has a blood glucose level (BGL) between 4.0─7.0 mmol/L during intrapartum management?
Repeat BGL in 1 hour and reassess requirements
What should be done if a woman with GDM has a BGL < 4.0 mmol/L during intrapartum management?
Treat hypoglycaemia and repeat BGL in 15 minutes
When should metformin and/or insulin be ceased for women with GDM after birth?
Immediately after birth (vaginal or CS)
How often should blood glucose levels (BGL) be monitored for women with GDM in the postpartum period?
4 times per day for 24 hours after birth
What is the recommended postpartum care for women with GDM?
All routine care as indicated
Test your knowledge on Gestational Diabetes Mellitus (GDM) with this quiz. Learn about the clinical guidelines and best practices for managing GDM in Queensland Health.
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