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CDCES: DM and Pregnancy/GDM Questions and Answers with Solutions 2024/2025
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CDCES: DM and Pregnancy/GDM Questions and Answers with Solutions 2024/2025
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CDCES: DM and Pregnancy/GDMWhat is the A1C target in pregnancy? - ANSA1C < 6-6.5% - closer to 6% in the 2nd/3rd
trimester
What is the fasting BG target for pregnant women? - ANS70-95 mg/dl
What is the 1 hr PP BG for pregnant women? - ANS110-140 mg/dl
What is the 2 hr PP BG for pregnant women? - ANS100-120 mg/dl
What is the minimum recommendation for CHO, protein, and fiber in women with GDM? -
ANS175g CHO, 71g protein, 28g fiber
Evidence-Based GDM Nutrition Practice Guidelines of the AND suggestions for meals -
ANSDivide CHO intake into 3 small-to-moderate meals with 2-4 snacks
What is the most difficult blood glucose level to manage in pregnancy? - ANSPost 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? - ANS110-135/85 mmHg
What is the preferred therapy for GDM? - ANSInsulin 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.
d. In our program, we share strategies to help you successfully manage your gestational
diabetes. - ANSd. In our program, we share strategies to help you successfully manage your
gestational diabetes.
Changes to insulin requirements during pregnancy - ANSTrimester 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
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