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Title: B1 - Glycemic Norms In Pregnancy: Implications for Better Glucose Control Beyond Maternal Diabetes

Disciplines: Newborn Care (N), Childbearing (CB), Advanced Practice (AP)

Learning Objectives:
  1. Identify studies of glycemia in normal pregnancy in terms of their methodologies and limitations.
  2. Describe data that characterize glycemia in normal pregnancy and compare them to current targets in the management of gestational diabetes.
  3. Discuss why more aggressive therapeutic targets for glycemia in gestational diabetes may be appropriate for the prevention of macrosomia in the context of maternal glucose and fat intake and their effect on fetal growth.
Submission Description:
Data suggest that concentrations of maternal glucose below current diagnostic thresholds for gestational diabetes(GDM) are predictive of a large fetus with higher levels of adiposity. Thus, lower therapeutic targets for glycemia might be appropriate to prevent these outcomes. This program will provide a critical review of the literature describing glycemia in normal pregnancy. Based on a pooled analysis, more aggressive therapeutic targets will be suggested for prospective testing in the prevention of fetal macrosomia.
Monday, June 25, 2012: 1:30 PM-2:30 PM
Annapolis (Gaylord National Harbor)
Moderator:
Alpa Thaker, MSN, BSN, RN
Presenting Author:
Teri L. Hernandez, PhD, RN
Audio File
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