Medical Management of Pregnancy Complicated by Diabetes, 6th edition
Learn evidence-based diabetes protocols that help produce healthy infants and mothers with pregnancies complicated by type 1, type 2, and gestational diabetes. Excellent resource!
Topics covered include:
• Pre- and interpregnancy counseling and contraception
• Lifestyle and nutrition management
• Glycemic management: medications and insulin use
• Possible complications
• Delivery and neonatal care
• Postpartum care
Level 2 & 3 CPE
Suggested Performance Indicators: 1.2.1, 1.3.1, 2.1.3, 2.1.8, 4.1.1, 4.1.2, 4.2.7, 6.1.2, 6.1.8, 6.1.9, 6.2.5, 6.3.8, 8.1.3, 8.1.4, 8.3.6, 10.2.9
CPE Type: 720 for Printed/Paper Tests, 740 for Web-based/Online Tests
Upon successful completion of this self-study course, the users will be able to:
1. Identify the recommended glycated hemoglobin (A1C) level to achieve before a woman with diabetes stops taking birth control.
2. Discuss four prenatal complications that may occur when a pregnant woman must deal with type 1, type 2, or gestational diabetes.
3. Analyze two reasons why a woman with T2D should consider switching from an oral agent to insulin before becoming pregnant.
4. Identify three complications that the fetus may experience when the mother’s blood sugar is consistently too high.
5. List two advantages to the pregnant woman of using continuous subcutaneous insulin infusion (CSII).
6. Explain two counseling strategies used to help clients eat a nutritious diet while learning to control of their blood sugar levels and A1C.
7. Critique three factors and how each effects blood sugar levels: the types and quantities of food, the timing of meals, and physical activity.
8. List approximate weight gain recommendations for newly pregnant women who are normal weight versus overweight.
9. Identify three potential food safety issues or toxins a pregnant woman should avoid.
10. Describe the suggested use of insulin or oral agents during labor and delivery.
11. Describe five strategies to recommend when a woman is nauseated during pregnancy.
12. Explain two reasons why congenital anomalies occur at increased rates to women with diabetes.
13. Identify the primary cause of neonatal hypoglycemia.
14. Assess which treatment to use in a neonate with a BG 40 mg/dL.
15. Plan the calorie and fluid recommendations for a breastfeeding mother.
Why we chose this book
This 6 edition from the American Diabetes Association has a new editor who kept the best of the last edition and added more on pre- and interpregnancy counseling, also diabetes management and glycemic control during labor, delivery, and postpartum. This book is evidence-based and highly regarded in its field.
About the author
Erika Werner, MS, MD, is an Associate Professor of Obstetrics & Gynecology at the Alpert Medical School of Brown University and of Epidemiology at the Brown School of Public Health. She is a national expert on cost-effective practices in obstetrics and her current research focuses on optimizing diabetes care in pregnancy and postpartum.