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Diabetes Mellitus Preconception Counseling
Aka: Diabetes Mellitus Preconception Counseling
- Contraindications to Pregnancy
- Renal disease
- Uncontrolled Hypertension
- Ischemic Heart Disease (Coronary Artery Disease)
- Preconception Blood Sugar Goals
- Glycosylated Hemoglobin (Hemoglobin A1C): <8.0%
- Blood Sugar
- Fasting Blood Sugar: 60-100 mg/dl
- Two hour Postprandial Blood Sugar: 100-120 mg/dl
- Labs: Preconception Evaluation
- Glycosylated Hemoglobin (Hemoglobin A1C)
- Lipid profile
- Urine 24 hour collection
- 24 Hour Urine Protein
- Creatinine Clearance
- Ophthalmologic examination
- Electrocardiogram
- Indicated for Diabetes Mellitus more than 10 years
- Complications: Fetal
- Congenital Malformations: 6-10% Incidence
- Organs that develop in first 7-8 weeks gestation
- Ventricular Septal Defect
- Neural Tube Defect (e.g. Spina bifida or Anencephaly)
- Caudal regression syndrome
- Fetal Macrosomia
- Fetal Relative Risk of developing Diabetes Mellitus: 3
- Complications: Maternal
- Pregnancy Induced Hypertension (PIH)
- Complicated Urinary Tract Infection