Download

Free Med Pocket Cards

Diabetes and Pregnancy Goal Updates

Section 13 – Management of Diabetes in Pregnancy
These are the updated guidelines from the 2017 ADA Standards of Care, Section 13 page S115.

Insulin treatment of Choice – insulin was emphasized as the treatment of choice in pregnancy based on the concerns about the concentration of metformin on the fetal side of the placenta and glyburide levels in cord blood.

Glucose testing and goals – based on evidence, more emphasis will be placed on post-prandial targets and less on pre-prandial values.

To simplify, fasting and postprandial targets are now the same for pregnant women with pre-existing diabetes and gestational diabetes.

Pregnancy and Blood Pressure Goals – for pregnant patients with diabetes and chronic hypertension, the new blood pressure target is 120-160/80-105 mmHg. This target is to optimize maternal health without causing fetal harm. Antihypertensive drugs known to be effective and safe in pregnancy include methyldopa, labetalol, diltiazem, clonidine, and prazosin.

 


 

 

 

Sign up for Diabetes Blog Bytes!

We post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Form Heading

Newly Expanded Accreditation!​

For more information on accreditation, visit each individual course page in our Online Store and click the “Accreditation” tab

Our course CE credits are through the following accrediting bodies:

  • AMA PRA Category 1 Credits™,
  • ACPE,
  • ANCC, and
  • CDR

Course credits will continue to count toward the CDCES and BC-ADM certification requirements, and many of our offerings (all of Standards of Care Intensive courses, plus our Virtual and Live DiabetesEd Training Conferences) fulfill the ADA Standards of Care component required for certification renewal.

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Recent Blog Bytes