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GDM
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?
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· human placental lactogen → ⤵️ insulin sensitivity
· RF: Age >30 / PMHx GDM / Obese / FHx of DM
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S/S
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Asx
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Dx
✳️
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1˚ Screening, When? 24-28 w
· Fasting: ≥125 🆎 / <95 ⓝ
· 1-hour OGCT → >140 (🆎, suggests GDM)
· If ⊖ → r/o GDM (highly sensitive)
2˚ Confirm w/ 3-hour OGCT
· >180 → >155 → 140
· if ⊕ → Dxic
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Tx
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1˚ ADA diet + Glucose control
2˚ Insulin
Delivery? if big >4kg, consider CS
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Fast HY Review 