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Diabetes Mellitus Gestational (GDM)
Diabetes Mellitus Gestational (GDM)
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baca sisanya di ppt pemicu 3
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1
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Apa itu DMG?
Intoleransi karbohidrat saat kehamilan
2
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Etiologi resisten insulin?
* Estrogen
* Progesteron
* Laktogen plasenta → lipolisis → FFA ⬆️ → resistensi insulin
3
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Komplikasi GDM?
* Sering keguguran
* Lahir anak mati tanpa sebab yang jelas
* Lahir bayi cacat bawaan
* BBL >4 g
* Riwayat preeklampsia
* Polihidramnion
4
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Penapsian risiko rendah?
* Tidak perlu pemeriksaan gula darah rutin
* Riwayat keluarga DM -
* Usia
5
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Penapisan risiko rata-rata?
* Pemeriksaan glusa darah rutin 24-28 minggu
6
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Siapa yang memiliki risiko tinggi untuk GDM?
* Obesitas
* Riwayat keluarga DM II
* Riwayat DMG
* Glikosuria
7
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Penapisan risiko tinggi?
* Pemeriksaan gula darah positif
* (-)
* Ulang pada 24-28 minggu
* Ulang setiap ada tanda hiperglikemia
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