Diabetes Management During Pregnancy

Study Notes

Preconception counseling is important for both diabetics and non-diabetics planning to get pregnant.
The classification of a diabetic patient using White's criteria is important for managing the patient.
Initial careful history, examination and tests should involve a review of the patient's diabetes, including date of diagnosis, blood sugar levels before and during early pregnancy, and any previous pregnancies.
Careful glycemic control improves perinatal outcome.
The objective of glucose levels is to be 60-140mg/dl throughout the day.
Maintenance of glycemic control depends on a well-regulated diet and insulin regimen, attention to level of physical activity and stress management, and close fetal surveillance.
Delivery usually occurs between 38-39 completed weeks of gestation.
If preterm labor ensues, tocolytic therapy with B-sympathomimetic drugs may be necessary.
Diabetes during pregnancy can put stress on the resources of the family.
Diabetes can be diagnosed with a blood test that measures glucose levels.
There are different levels of diabetes, and the more severe the diabetes, the higher the glucose levels will be.
Diabetes is one of the medical conditions of pregnancy that can be managed with good team management.
Treatment for diabetes during pregnancy includes managing the diabetes and providing resources to the family.

Description

Test your knowledge of preconception counseling, diabetic patient classification, glycemic control, delivery, and treatment for diabetes during pregnancy. Learn about the importance of careful history, examination, and tests for diabetic patients planning to get pregnant.