What is white classification gestational diabetes?
What is white classification gestational diabetes?
The White classification, named after Priscilla White who pioneered research on the effect of diabetes types on perinatal outcome, is widely used to assess maternal and fetal risk. It distinguishes between gestational diabetes (type A) and diabetes that existed before pregnancy (pregestational diabetes).
What is the best medication for gestational diabetes?
IN BRIEF The oral agents glyburide and metformin are both recommended by many professional societies for the treatment of gestational diabetes mellitus (GDM).
What is gestational diabetes class A2?
Type A2 GODM: Patients typically have an abnormal glucose tolerance test and abnormal glucose levels. during fasting and after meals. Type A2 diabetes is usually managed with either oral medications or subcutaneous insulin.
How do you classify gestational diabetes?
Classification
- Type B: onset at age 20 or older and duration of less than 10 years.
- Type C: onset at age 10–19 or duration of 10–19 years.
- Type D:
- Type E: overt diabetes mellitus with calcified pelvic vessels.
- Type F: diabetic nephropathy.
- Type R: proliferative retinopathy.
- Type RF: retinopathy and nephropathy.
What is a Class A diabetic?
Class A: Diagnosis of diabetes made on a glucose tolerance test, which deviates but slightly from the normal. Class B: Duration less than 10 y and Onset age 20 y or older and No vascular disease.
Does metformin cross the placenta?
The passage of metformin from mother to offspring. Metformin is becoming a popular agent to control insulin resistance before and during pregnancy. However, unlike insulin, metformin can pass through the placenta, likely via the organic cation transporters (OCTs).
Can gestational diabetes go away during pregnancy?
Unlike other types of diabetes, gestational diabetes usually goes away on its own and soon after delivery blood sugar levels return to normal, says Dr. Tania Esakoff, clinical director of the Prenatal Diagnosis Center. “There is no need for gestational diabetes to take away from the joys of pregnancy.”
Does gestational diabetes make the baby bigger?
If you have gestational diabetes, your baby may be at increased risk of: Excessive birth weight. Higher than normal blood sugar in mothers can cause their babies to grow too large.
What is the difference between A1 and A2 diabetes?
This continuing education course concentrates on the two GDM classifications: A1, which is controlled with diet and exercise, and A2, which requires the use of medications after diet and exercise fail to control a patient’s blood sugar.
What if sugar level is 200 during pregnancy?
If her blood sugar level is higher than 200 mg/dl, an oral glucose tolerance test will be the next step (for reference, 70-120 mg/dl is the target range for someone without diabetes). For the oral glucose tolerance test, the mother will fast (no eating) overnight.
How early do you deliver with gestational diabetes?
Expert recommendations suggest that women with uncomplicated GDM take their pregnancies to term, and deliver at 38 weeks gestation [6].
Is gestational diabetes bad for baby?
Babies of mothers who have gestational diabetes have a higher risk of developing obesity and type 2 diabetes later in life. Stillbirth. Untreated gestational diabetes can result in a baby’s death either before or shortly after birth.
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