MCH Frequently Asked Questions
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Links to G FAQs
- Gail model of breast cancer risk assessment
- Gestational diabetes mellitus
- Glyburide: Diabetes in Pregnancy
- Glycemic Index
- Group B Strep prevention
- Guidelines, Forms, Pt. Ed materials, Resources
G FAQs
Q. In pregnancy, is a one hr. screening result > 185 or > 200 mg/dL diagnostic for GDM?
A. No, one of five of these patients has a normal 3 hr. OGTT. See details. (WORD 56k)
Q. Are there alternatives to the oral glucose tolerance test? A breakfast tolerance test?
A. Yes, there are several alternatives. Polycose is best. Mixed meals are not as reliable. (WORD 119k)
Q. What is the risk of developing breast cancer?
A. Here is a site with the Gail model of breast cancer risk assessment. Just plug in the risk factors and get the risk score.
Q. What are some guidelines to use for the care of diabetes in pregnancy?
A. Here are some guidelines and other resources.
Q. What are the best cut-offs to use while monitoring diabetes in pregnancy therapy?
A. Ideally: FBS < 95 mg/dL, 1 hr. < 130 mg/dL and 2 hr < 120 mg/dL. See the details below. (WORD 56k)
Q. Are there alternatives to insulin / diet in diabetes and pregnancy? Glyburide? Others?
A. Yes, we have successfully used glyburide, and other agents, with caution. (WORD 68k)
Q. Have you ever wondered why your GDM or DM patient's blood sugars go really high only after certain meals?
A. Yes portion size is an issue, but it may have a lot to do with the Glycemic Index of the foods in that meal. (WORD 25k)
Q. What are the differences between the 2002 CDC GBS Recommendations and the 1996 CDC guidelines?
A. The main difference is the recommendation for universal screening at 35-37 week, but here are several others.
Q. Should we use glargine use in pregnancy?
A. Short and intermediate acting insulin(s) are recommended at this time. See details below (WORD 52k)
Q. Should, we be performing some type of long term follow-up on our GDM patients?
A. Yes, perform a 75 gm OGTT initially at 6 wks pp, and a FPG or OGTT q 3 yrs. See details (WORD 59k)
Q. Are there any ______ (forms, guidelines, Pt. Ed materials, etc) I can use as templates?
A. Yes, the Indian Health website has sites for all those. See details (WORD 69k)
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