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Case Studies in Gestational Diabetes Mellitus Etoi Garrison, MD, PhD Lindsey Baksh, MSN, WHNP I. Introduction a. Definitions b. Prevalence of GDM in the US and Tennessee c. Risk factors d. Review of pathophysiology II. Screening a. Case presentation b. 1 st trimester DM screening – evidence for or against? c. Vanderbilt University “Prevention for Life” Protocol d. Routine screening recommendations (24-28 weeks) e. Screening dilemmas III. Diagnosis a. 1-step screening (ADA) vs. 2-step approach (ACOG) b. Case presentation IV. Medication a. Pharmacokinetics of Metformin, use in pregnancy b. Pharmacokinetics of Glyburide, use in pregnancy c. Case presentation V. Postpartum a. Inpatient management b. 6-week follow up and long-term screening recommendations

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Case Studies in Gestational Diabetes Mellitus

Etoi Garrison, MD, PhD

Lindsey Baksh, MSN, WHNP

I. Introduction a. Definitions b. Prevalence of GDM in the US and Tennessee c. Risk factors d. Review of pathophysiology

II. Screening

a. Case presentation b. 1st trimester DM screening – evidence for or against? c. Vanderbilt University “Prevention for Life” Protocol d. Routine screening recommendations (24-28 weeks) e. Screening dilemmas

III. Diagnosis

a. 1-step screening (ADA) vs. 2-step approach (ACOG) b. Case presentation

IV. Medication a. Pharmacokinetics of Metformin, use in pregnancy b. Pharmacokinetics of Glyburide, use in pregnancy c. Case presentation

V. Postpartum a. Inpatient management b. 6-week follow up and long-term screening recommendations

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