Diabetes

• What is key to optimal control with diabetes?

• Strict glycemic control

• What is pregestational diabetes/

• Diabetes that excited before

• What is the primary fuel for fetus>

• Glucose

• What crosses the placenta and what does not?

• Glucose crosses placenta

• Insulin does not

• When is insulin produced during pregnancy?

• During first trimester

When is insulin double or even quadruple during pregnancy?

• Third trimester but levels off by week 36

• What does down after you cut cord>

• Glucose

• What are complications of diabetes regarding mother?

• Hypertension

• Preeclampsia

• Hydramnios

• What are complication of diabetes regarding fetus

• Stillbirth

• Congenital malformation

• Macrosomia

  • Big babies since act like growth hormone

• What is care management of diabetes?

• Fetal surveillance

• Determine birth date and mode

• Watch fetal lung maternity (3:1)

• What is care management of diabetes during pregnancy?

• Diet

• Exercise

• Insulin therapy

• Monitor levels

• Urine testing

• When are most women screened for diabetes?

• During 24 to 28 weeks

• What is glucose screen

• No fast

• Drink solution and test one hour late

• If greater than 140 you need 3 hr test

• What are newborns at risk for when mothers are diabetics?

• Birth trauma

• Respiratory distress

• Hypoglycemia

• Cardiomyopathy

• What are the blood glucose levels of infants?

• Less than 40 mg