2 Diabetes and Pregnancy Can a “normal” person also become diabetic in pregnancy?
3 Gestational DiabetesDefinition: Diabetes with onset or first recognition in pregnancyPregestational diabetes: Diabetes diagnosed before pregnancy, type I or IIGestational diabetes : 87% of all diabetes in pregnancy
4 Who will get gestational diabetes? It could happen to anybody
5 Should we screen and when? YES!!!Ideal world - between weeks gestationGlucose tolerance test – 75mgIn South Africa?
6 Selective screening : 10 factors History of previous gestational diabetesCertain ethnic groupsOlder than 35 yearsWeight more than 85 kgFirst degree family history of DMHistory of typical diabetic symptomsPrevious infant over 4kgPrevious stillbirthSevere polihydramniosRepeated glycosuria