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Pregnancy & Gestational Diabetes Flashcards

7 cards from real Diabetes practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Pregnancy & Gestational Diabetes flashcards as text

  1. Which glucose monitoring approach is strongly recommended for women with type 1 diabetes during pregnancy?

    Answer: Continuous glucose monitoring (CGM)

    CGM is strongly recommended in type 1 diabetes during pregnancy because it reduces A1C, hypoglycemia, and large-for-gestational-age births.

  2. What is the ADA-recommended A1C target during pregnancy for women with preexisting diabetes (when achievable without significant hypoglycemia)?

    Answer: <6.5%

    ADA recommends an A1C <6.5% during pregnancy for women with preexisting diabetes when achievable without clinically significant hypoglycemia.

  3. Which oral antidiabetic agent is most studied and sometimes used in pregnancy for GDM when insulin is not accepted by the patient?

    Answer: Metformin

    Metformin has the most pregnancy safety data among oral agents and may be used when insulin is refused, though insulin remains the preferred pharmacotherapy.

  4. What neonatal complication must be monitored for immediately after delivery in infants born to mothers with poorly controlled GDM?

    Answer: Neonatal hypoglycemia

    Fetal hyperinsulinemia persists after birth; once the maternal glucose supply is cut, continued insulin secretion causes neonatal hypoglycemia.

  5. At what postpartum time frame should women who had GDM be retested for persistent diabetes or prediabetes?

    Answer: 4–12 weeks postpartum

    ADA recommends retesting at 4–12 weeks postpartum with a 75g OGTT to identify women who have persistent dysglycemia after GDM.

  6. Which pregnancy-specific hypertensive disorder is significantly more common in women with gestational diabetes?

    Answer: Preeclampsia

    GDM is associated with a markedly elevated risk of preeclampsia due to the vascular and metabolic effects of insulin resistance.

  7. Which dietary approach is the cornerstone of medical nutrition therapy for gestational diabetes?

    Answer: Carbohydrate-controlled diet with consistent carbohydrate distribution at each meal

    GDM nutrition therapy emphasizes consistent, controlled carbohydrate intake distributed evenly across meals to minimize postprandial glucose excursions.