Pregnancy (decreases/increases) the body's insulin requirements.
Increases
Can pregnancy convert a non-diabetic woman into a diabetic?
Yes
Whatname is given to diabetes that is brought on by pregnancy?
Gestational diabetes
Diabetes with pregnancy is (more/less) common as the woman ages.
More
What is the #1 cause of infant illness when the mother has diabetes?
Hypoglycemia
When is infant hypoglycemia most likely to occur during labor and delivery?
In the hours immediately following delivery
Hormones of pregnancy work against insulin (T/F)
True
A sign of gestational diabetes is excessive (weight gain/weight loss).
Weight gain
(Obese/very thin) women are most likely to become diabetic during pregnancy.
Obese
In gestational diabetes, the client experiences a (decrease/increase) thirst.
Increase (polydipsia)
In gestational diabetes, the client experiences a (decrease/increase) in urine output.
Increase (polyuria)
Gestational diabetes is associated with (hypotension/hypertension).
Hypertension
Gestational diabetes is associated with what OB history?
Previously large baby (over 9 lb), unexplained still birth, miscarriage, congenital anomalies
Women who have gestational diabetes tend to deliver infants who are (small/large).
Large for gestational age
Gestational diabetics tend to get ________ infections.
Monilial (yeast) infections
What test confirms the diagnoses of gestational diabetes?
3 hour glucose tolerance
What are the 2 main treatment methods in gestational diabetes?
Diet, insulin
How often should a woman visit the doctor prenatally if diabetes is present?
Twice a month, then once per week in the 3rd trimester
How many pounds per week is the diabetic woman allowed to gain in the 2nd and 3rd trimesters?
1 pound/week
Is severe carbohydrate restriction required in gestational diabetics?
No, it could lead to ketosis
Of protein, fat, and carbohydrates, which ones (percent-wise) increase in the diet of gestational diabetes?
Protein and fat
When is insulin used in the treatment of gestational diabetes?
When dietary control does not keep the blood sugar within normal limits
If insulin is used, the dose is the same in all 3 trimesters (T/F)
False, it varies
Oral hypoglycemics should never be used during pregnancy (T/F)
True, they cause birth defects (teratogenic)
When should a diabetic delivery?
Between 37 and 39 weeks
What IV solution is used during labor for the diabetic?
D5W
The mother's insulin requirements will (fall/rise) markedly after delivery.
Fall
During pregnancy, what complication is most dangerous for the fetus of a diabetic?
Ketosis
If ketosis is a big problem for the baby during pregnancy, what is the big problem after delivery?
Hypoglycemia
Why is hypoglycemia such a dangerous problem?
Brain cells die without glucose, there is brain damage