Gestational Diabetes

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Across
  1. 2. There is an increase in the incidence of birth defects among infants of women who develop GDM after the first trimester.
  2. 4. Jane has to take a fasting 100g oral glucose test. Her fasting level comes back as 75. Her first hour glucose test comes back at 195mg/dL. Her 2 hour glucose test comes back at 165mg/dL. Her 3 hour glucose test comes back at 130mg/dL. Jane has tested ____ for GDM.
  3. 7. Birthweight more than 4000 to 4500 g or greater than the 90th percentile.
  4. 8. If risk factors such as obesity are present, maternal screening for GDM will be conducted at ____ weeks of gestation.
  5. 9. Placental hormones, cortisol, and insulinase increase mom’s ________ to insulin.
  6. 12. Extra glucose from mom will cause the baby’s _______ to also produce high levels of insulin.
Down
  1. 1. Insulin requirements decrease substantially because the major source of insulin resistance, the placenta, has been removed.
  2. 3. Works by decreasing hepatic glucose production and increasing peripheral sensitivity to insulin.
  3. 5. Human placental lactogen, cortisol, growth hormone, progesterone are released during pregnancy and ______ moms production of glucose during pregnancy.
  4. 6. Andrea comes in for a non-fasting 50g oral glucose test. After one hour her blood glucose is 125mg/dL. Does Andrea need to come back in for fasting oral glucose test?
  5. 10. All women who had GDM should be assessed for carbohydrate intolerance at around _____ weeks postpartum.
  6. 11. After delivery, the baby will have high insulin levels but will no longer have that extra sugar from mom, the baby’s blood sugar levels can drop suddenly and cause a ______.