CDCES: DM and Pregnancy/GDM Exam Questions With Correct Answers.
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CDCES
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CDCES
CDCES: DM and Pregnancy/GDM Exam
Questions With Correct Answers.
What is the A1C target in pregnancy? - answerA1C < 6-6.5% - closer to 6% in the 2nd/3rd
trimester
What is the fasting BG target for pregnant women? - answer70-95 mg/dl
What is the 1 hr PP BG for pregnant women? - answer110-140...
CDCES: DM and Pregnancy/GDM Exam
Questions With Correct Answers.
What is the A1C target in pregnancy? - answer✔✔A1C < 6-6.5% - closer to 6% in the 2nd/3rd
trimester
What is the fasting BG target for pregnant women? - answer✔✔70-95 mg/dl
What is the 1 hr PP BG for pregnant women? - answer✔✔110-140 mg/dl
What is the 2 hr PP BG for pregnant women? - answer✔✔100-120 mg/dl
What is the minimum recommendation for CHO, protein, and fiber in women with GDM? -
answer✔✔175g CHO, 71g protein, 28g fiber
Evidence-Based GDM Nutrition Practice Guidelines of the AND suggestions for meals -
answer✔✔Divide CHO intake into 3 small-to-moderate meals with 2-4 snacks
What is the most difficult blood glucose level to manage in pregnancy? - answer✔✔Post
breakfast due to higher hormonal levels in the morning; recommend to restrict breakfast CHO to
15-45 grams
What is the BP target in pregnancy? - answer✔✔110-135/85 mmHg
What is the preferred therapy for GDM? - answer✔✔Insulin as it does not cross the placenta.
Both Metformin and Sulfonylureas pass through placenta.
ML is 26 weeks pregnant and has gestational DM. Considering the language movement, which
of the following statements best reflect the preferred approach when addressing women with
GDM?
a. Diabetic women can have great pregnancies by taking charge of their glucose levels.
b. You can control your diabetes through careful attention to carbohydrate counting.
c. Testing your glucose 4 times a day can empower your decisions.
Changes to insulin requirements during pregnancy - answer✔✔Trimester 1: Decrease in insulin
requirements as glycemic levels fall and insulin sensitivity rises
Trimester 2/3: Exogenous insulin requirements may increase 2-3-fold over pre-pregnancy
amounts due to increase in hormone levels resulting in greater insulin resistance
Insulin requirements during pregnancy per the American College of Obstetricians and
Gynecologists - answer✔✔1st trimester: 0.7-0.8 units/kg
2nd trimester: 0.8-1 units/kg
3rd trimester: 0.9-1.2 units/kg
The lowest risk of congenital anomalies is associated with an A1C level that is ....? -
answer✔✔<6.5% at conception
Complications associated with hyperglycemia in pregnancy - answer✔✔- congenital anomalies
- macrosomia
- spontaneous abortions
According to the ADA's position statement on preconception care, women should be seen at
_____ intervals until her next A1C results indicate stable glycemic levels - answer✔✔1-2 month
Diabetic Retinopathy in Pregnancy - answer✔✔- Counter-regulatory hormones and rise in
estrogen, progesterone, and cortisol levels accelerate retinopathy
- Pregnancy-induced HTN or chronic HTN is the most important risk factor associated with
progression of retinopathy in pregnancy
- If woman has untreated proliferative retinopathy, pregnancy should be delayed until after laser
photocoagulation
Polyhydramnios - answer✔✔Excessive amniotic fluid associated with increased risk for preterm
birth, placental abruption, and fetal anomalies
Maternal hyperglycemia/DM is a risk factor
Congenital Malformations - answer✔✔Occur during organogenesis during 1st 8 weeks of
gestation and are more common in women with preexisting DM
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