This is a draft cheat sheet. It is a work in progress and is not finished yet.
RISK FACTORS
Obesity |
HTN |
Glycosuria |
Less than 25 y.o. |
Family hx of DM |
Previous delivery of large or stillborn infant |
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INCREASED RISKS TO FETUS
SPONTANEOUS ABORTION r/t poor glycemic control |
INFECTIONS (urinary & vaginal) r/t increased glucose in urine and decreased resistance ibc of altered carbohydrate metabolism |
HYDRAMNIOS - can cause PROM, overdistention of the uterus, PTL, hemorrhage |
KETOACIDOSIS from diabetogenic effect of pregnancy (increased resistance to insulin), untreated HYPERglycemia, or inappropriate insulin dosing |
HYPOGLYCEMIA caused by overdosing insulin,, skipping meals/eating late meals, increased exercise |
HYERGLYCEMIA can cause excessive fetal growth (macrosomia) |
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