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DIABETES MELLITUS-GESTATIONAL DIABETES

Endocrinology

DIABETES MELLITUS-GESTATIONAL DIABETES

1. With pregnancy in diabetic women, strict control even before conception is important. Maintain FPG < 100 mg/dL and HbA1c < 7%.

2. Tight glycemic control decreases the risk of macrosomia and shoulder dystocia in the newborn.

3. During pregnancy, a diabetic patient requires 50% more insulin due to increased resistance from placental hormones. This increased requirement is gone immediately after delivery.

4. Statins, ACEI, ARB, hypoglycemics should be discontinued before pregnancy. Use insulin instead.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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