WorksheetsGestational Diabetes
Total questions: 15
Worksheet time: 15mins
Which of the following is true regarding preconception counseling for women with diabetes?
Aim for HbA1c < 6.5% to reduce the risk of congenital anomalies.
Advise regarding the risk of progression of diabetic nephropathy.
Request for a dilated eye exam in the third trimester.
None of the answers are true.
Which of the following women will you screen for gestational diabetes?
36 y.o. G2P0 with history of blighted ovum
25 y.o. G1P0 with hyperemesis gravidarum
21 y.o. G1P0
All of the above
Which of the following best predicts the risk of gestational diabetes?
Overweight or obese before pregnancy
Diagnosis of polycystic ovary syndrome
Family history of diabetes
Glucosuria
When should testing for gestational diabetes be done during pregnancy?
Test high-risk women between 24 to 28 weeks age of gestation.
Testing for gestational diabetes should still be carried out even beyond 24 to 28 weeks age of gestation.
Women without risk factors should only be tested if they develop glucosuria.
Test all women at first prenatal visit regardless of risk.
Which test should be used to screen for gestational diabetes?
Fasting blood sugar
100-g oral glucose tolerance test
50-g glucose challenge test
75-g oral glucose tolerance test
A pregnant woman has the following 75-g OGTT results - FBS 90 1h 190 2h 150. Does she have gestational diabetes?
Yes
No
Which of the following is true in the dietary management of gestational diabetes?
For overweight women, reduce energy intake by 50% of habitual intake.
Do not prescribe less than 2000 cal/day for women with twin gestation.
Women with gestational diabetes should eat a big breakfast.
Monitor urine ketones at bedtime to detect starvation ketonuria.
For a woman with a pre-pregnant BMI in the normal range, what is the allowed weight gain in pregnancy?
<28-40 lbs
25-35 lbs
15-25 lbs
11-20 lbs
Which of the following is true of self-monitoring of blood glucose (SMBG) in gestational diabetes?
For women on dietary intervention alone, monitor blood glucose 6x a day.
For women treated with insulin, preprandial monitoring is superior to postprandial.
If on insulin, test blood glucose at night because of increased risk of nocturnal hypoglycemia.
Daily SMBG does not appear to be superior to intermittent office monitoring.
What are the targets for self-monitored blood glucose in gestational diabetes?
Fasting < 95 mg/dL
1 h < 120 mg/dL
2 h < 100 mg/dL
Which of the following is true regarding the treatment of diabetes in pregnancy?
Metformin does not cross the placenta to the fetus.
Metformin should be discontinued once pregnancy is confirmed.
Glibenclamide has long-term safety data in pregnancy.
Glibenclamide can cause maternal but not neonatal hypoglycemia.
When should insulin be initiated in gestational diabetes?
Start insulin if the FBS result in the OGTT is 126 mg/dL or higher.
Consider insulin when diet and exercise fail to maintain glucose targets in two weeks.
Initiate insulin if glucose targets are not reached with Metformin alone.
Give insulin if the pregnant woman is put on bed rest and not allowed to exercise.
Which of the following is true regarding the use of oral medications for pregnant women with diabetes?
Aspirin should be started once the pregnancy is confirmed.
Chronic diuretic use during pregnancy is not recommended.
Statins should be avoided because of potential liver damage.
Atenolol is safe to use in pregnancy.
Which of the following is true regarding the management of gestational diabetes during labor?
Do not give dextrose-containing intravenous fluids as hyperglycemia is expected.
Check capillary blood glucose before and after labor.
Avoid maternal hyperglycemia as this leads to neonatal hyperglycemia.
Give short-acting insulin for capillary blood glucose >140 mg/dL.
Which of the following is true regarding postpartum follow up of women with diabetes?
Metformin can delay the progression to diabetes of women with prediabetes and a history of GDM.
Gestational diabetes is associated with a 10% increase in lifetime risk of diabetes after 5 years.
Request for a 75-g OGTT 6 months postpartum.
Request for an HbA1c two months postpartum.
