SWEET on You- Diabetes in Pregnancy and Birth

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Across
  1. 1. If this is greater than 30, it increases the risk of GDM
  2. 5. This state happens in pregnancy because of hormones that decrease the glucose entry into maternal cells
  3. 8. In order for increased availability of glucose to the growing fetus, a pregnant person's glucose utilization must do this
  4. 10. This type of hypoglycemia is defined when a blood glucose is less than 70mg/DL
  5. 14. Decompensated diabetes defined by accelerated gluconeogenesis and ketogenesis caused by sever lack of insulin
  6. 16. Neonates born to patients with GDM are at higher risk for neonatal hypoglycemia, hyperbilirubinemia, shoulder dystocia and birth what
  7. 17. Insulin is a major stimulus for this and increases toward the end of gestation
  8. 18. Crosses the placenta in 70-80% concentration during pregnancy
Down
  1. 1. The concentration of this glucose drops and reaches its lowest point 1-2 hours after birth
  2. 2. The definition when a newborns blood glucose is less than 45mg/dL in the first 48-72 hours of life
  3. 3. Patients with GDM are at higher risk for Cesarean birth, type 2 diabetes and this pregnancy complication
  4. 4. This hormone does not cross the placenta
  5. 6. As a result of the insulin-resistant effects of the pregnancy hormones as pregnancy progresses, insulin requirements do this
  6. 7. This type of birth should be considered if the fetal weight is estimated at 4500 or more grams
  7. 9. Gestational Diabetes Mellitus (GDM) develops during pregnancy and is related to intolerance of this in the diet
  8. 11. Assessment of this and teaching about nutrition is as important as glucose testing in the management of GDM
  9. 12. Hyperglycemia over time causes significant systemic damage to this
  10. 13. A chronic metabolic disease characterized by hyperglycemia caused by impaired or no insulin production, deficient insulin action/utilization or a combination of these factors
  11. 15. Adult hyperglycemia can be caused by too much food, too little insulin, illness or this
  12. 17. Dextrose administration of this is simple and inexpensive, making it a first line treatment