Overt Diabetes
The findings seen in diabetes female:
→ Fasting blood sugar= ≥ 126mg/dl
→ Random blood sugar= ≥ 200 mg/dl
→ HbA1C= ≥6.5%
→ 1 hr. screening test Blood sugar levels >200 mg/dl.
→ Test which predicts congenital malformation in Overt diabetes mothers= HbA1C
• <6.5%, no chances • 6.5-9.5%, Chances 5% • >9.5%, Chances 20%
→ Test which detects congenital malformation in babies= TIFFA Scan
→ Methods to prevent congenital malformation in Overt Mothers:
- Strict glucose control
-
Folic acid supplementation-400mcg/day
→ Drug of choice – Insulin (all oral hyperglycemic drugs are contraindicated)
