{"id":1149,"date":"2017-06-06T06:50:25","date_gmt":"2017-06-06T06:50:25","guid":{"rendered":"http:\/\/papergp.com\/index.php\/endocrinology\/gestational-diabetes\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"gestational-diabetes","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/obstetrics\/gestational-diabetes\/","title":{"rendered":"Gestational Diabetes"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Risk factors<\/strong><\/h4>\n<ul>\n<li>Age<\/li>\n<li>Ethnicity &#8211; Asian, Afro-Carribean<\/li>\n<li>BMI &gt; 30<\/li>\n<li>Smoking<\/li>\n<li>Previous macrosomia (&gt;4.5kg)<\/li>\n<li>FH &#8211; T2DM, Gestational diabetes<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>\u00a0Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Oral glucose tolerance test (at 24-28 weeks + just after booking if prev GDM)<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Stop statins, ACE-I<\/li>\n<li>Stop diabetic medications except metformin\/insulin<\/li>\n<li>Scan &#8211; detailed anomaly scan at 20 weeks<\/li>\n<li>Lifestyle &#8211; diet, exercise<\/li>\n<li>Eyes &#8211; retinal screening each trimester<\/li>\n<li>Monitoring &#8211; blood glucose<\/li>\n<\/ul>\n<\/li>\n<li>Followup \/ Safety-net<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Risk factors Age Ethnicity &#8211; Asian, Afro-Carribean BMI &gt; 30 Smoking Previous macrosomia (&gt;4.5kg) FH &#8211; T2DM, Gestational diabetes &nbsp; \u00a0Clinical management Investigations Oral glucose tolerance test (at 24-28 weeks + just after booking if prev GDM) Treatment Stop statins, ACE-I Stop diabetic medications except metformin\/insulin Scan &#8211; detailed anomaly scan at 20 weeks Lifestyle &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/obstetrics\/gestational-diabetes\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Gestational Diabetes<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1715,"menu_order":93,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1149","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1149"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1149\/revisions"}],"predecessor-version":[{"id":1675,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1149\/revisions\/1675"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1715"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}