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Gestational Diabetes Mellitus

 Syn. GDM

Signs & Symptoms

 South Asian
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis]
Use of glucocorticoids
Note: Maternal
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis] Epocrates [ History & Exam]
History of impaired glucose tolerance
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis]
Pacific Islander
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis]

Physical Examination

 Acanthosis nigricans (negative symptom)
Ref: Epocrates [ Tests]

Lab / Serology

 Glycosuria
Note: At the first prenatal visit
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis] Epocrates [ History & Exam]
Abnormal glucose tolerance test
Note: Other name for the test: glucose loading test(GLT)
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis] Epocrates [ History & Exam]
Abnormal one-step 75g oral glucose tolerance test
Note: Other name for the test: glucose loading test(GLT)
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis] Epocrates [ History & Exam]

Imagin Study

Complication

 Macrosomia
Note: Infant weight >4000 g
Ref: Uptodate [ Gestational diabetes mellitus: Obstetrical issues and management]
Large for gestational age infant
Ref: Uptodate [ Gestational diabetes mellitus: Obstetrical issues and management]
Truncal asymmetry
Ref: Uptodate [ Gestational diabetes mellitus: Obstetrical issues and management]

Risk Factors

 Age > 25
Ref: Uptodate [ Diabetes mellitus in pregnancy: Screening and diagnosis]

Cause

Other