Patient with long term history of DM type 1 in 12 weeks of gestation. HbA1C 12. What complication is most likely to happen? A. Pre-eclampsia B. Polyhydramnios C. Congenital malform... Patient with long term history of DM type 1 in 12 weeks of gestation. HbA1C 12. What complication is most likely to happen? A. Pre-eclampsia B. Polyhydramnios C. Congenital malformation D. IUGR
Understand the Problem
The question is asking which complication is most likely in a patient with a long history of type 1 diabetes during pregnancy, indicated by a specific HbA1C level at 12 weeks of gestation. The focus is on understanding complications associated with diabetes in pregnancy.
Answer
Congenital malformation
The final answer is congenital malformation.
Answer for screen readers
The final answer is congenital malformation.
More Information
In women with poorly controlled type 1 diabetes (high HbA1c, such as 12%), there's a significant risk of congenital malformations due to teratogenic effects of hyperglycemia during the first trimester.
Tips
A common mistake is underestimating the teratogenic effects of high glucose levels in early pregnancy.
Sources
- Management of Diabetes in Pregnancy: Standards of Care - pmc.ncbi.nlm.nih.gov
- Diabetes Mellitus and Gestational Diabetes - sahealth.sa.gov.au
- Imaging Review of Obstetric Sequelae of Maternal Diabetes Mellitus - pubs.rsna.org
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