Therapeutic Management in Gestational Diabetes
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Questions and Answers

What is the benefit of specific treatment of gestational diabetes during pregnancy?

  • Reduces the number of labor inductions
  • Leads to fetal macrosomia
  • Increases the incidence of caesarean sections
  • Decreases the risk of preeclampsia (correct)

    • Why are oral antidiabetic agents (glibenclamide or metformin) not recommended during pregnancy?

  • They lead to a lower incidence of labor inductions
  • They have no impact on maternal prognosis compared to insulin
  • They significantly reduce the risk of fetal macrosomia
  • They may not be safe for use during pregnancy (correct)

    • What is the advantage of measuring glycosylated hemoglobin (HbA1) in pregnant women with gestational diabetes?

  • It indicates the present value of glucose only
  • It provides information about glucose levels in real-time
  • It reflects the average blood glucose level over the past 4 to 6 weeks (correct)
  • It reflects the average blood glucose level over the past few days

    • What is the upper normal level of HbA1 in pregnant women as a percentage of total hemoglobin?

    <p>65%</p> Signup and view all the answers

    Why might a urine culture be done each trimester for pregnant women with gestational diabetes?

    <p>To detect asymptomatic UTIs</p> Signup and view all the answers

    What effect does specific treatment of gestational diabetes have on the number of labor inductions?

    <p>Decreases the number of labor inductions</p> Signup and view all the answers

    What is the primary concern for a woman with diabetes mellitus during pregnancy?

    <p>Maintaining a balance between insulin and blood glucose levels</p> Signup and view all the answers

    What happens if a woman's insulin production is insufficient?

    <p>Body cells are unable to use glucose</p> Signup and view all the answers

    At what blood glucose level do the kidneys start excreting glucose in the urine?

    <p>150 mg/100ml</p> Signup and view all the answers

    Why do infants of women with unregulated diabetes often have birth abnormalities?

    <p>High blood sugar levels affecting fetal development</p> Signup and view all the answers

    How does the body attempt to increase serum glucose levels in the absence of insulin?

    <p>By converting glucose to glycogen stored in the liver</p> Signup and view all the answers

    What happens to serum glucose levels when body cells cannot use glucose despite its presence?

    <p>They rise (hyperglycemia)</p> Signup and view all the answers

    What is the main reason an ophthalmic examination is recommended during pregnancy for women with diabetes?

    <p>To detect and prevent retinal changes that can progress during pregnancy</p> Signup and view all the answers

    Why might a woman with diabetes need less insulin early in pregnancy?

    <p>Because the fetus is using more glucose for rapid cell growth</p> Signup and view all the answers

    When do women with gestational diabetes usually start insulin therapy?

    <p>If diet alone fails to regulate glucose levels</p> Signup and view all the answers

    Why are oral hypoglycemic agents not preferred during pregnancy?

    <p>They may harm the fetus by crossing the placenta</p> Signup and view all the answers

    How should women administer short-acting insulins before breakfast?

    <p>30 minutes before breakfast in a 2:1 ratio</p> Signup and view all the answers

    What is the recommended distribution of daily insulin doses for pregnant women?

    <p>Two thirds in the morning, one third in the evening</p> Signup and view all the answers

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