Quick update for Aussie students/drs: as per latest RANZCOG, the recommended screening regime in Australia is a 75 gram two-hour Pregnancy Oral Glucose Tolerance Test (POGTT). GDM is currently diagnosed by a fasting glucose level of >= 5.5mmol/L OR a 2-hour level >= 8.0mmol/L. Thanks Paul for all these awesome videos!
i love these videos. im looking through them now that i'm pregnant since it's been 7 years since my last baby. I wanted to give my very anecdotal experience. I gave birth to two macrosomal babies, one 4380gr and one 4300gr with a SO of 37cm and the first one was at home, the second one at hospital. The first one, I received a episiotomy and the second one, I gave birth to with nearly zero trauma to the area and I had no complications after the birth with either. Oh, and no, my babies were just huge because of their dad. I had no GD and never had issues with diabetes
I want to add some points -if the OGCT is 200 and above u dont need to do the fasting OGTT. -in case of the first step in management with the diet modification you can also recommend moderate aerobic exercises. -for the delivery there is no harm to wait for spontaneous delivery of diabetes is well controlled and the fetus is doing well. -for the postpartum follow up. At 6-12 weeks postpartum they should be tested for overt diabetes with the 75g OGTT. Pregnancy is a diabetogenic state. So pregnancy is a good screening test actually for developing overt diabetes.
I did not fail both tests, but I still was diagnosed with gestational diabetes. It was very close though, and they had me test my blood sugar 4 times per day, and my fasting was always high, but my after meals was always normal. Now they make me take insulin before bed. Is that normal? I think maybe the kicker is that I had prediabetes which I had been managing without any medication for years.
Good clear video, question about the rule of 15s though. If 15% women are positive on screening test and then if those 15% test positive for GDM that's just over 2% of women overall. But how does that square with 6%of pregnant women in US having GDM? or is my maths just rubbish 🙂
Hi Paul. In 2nd trimester visit lecture - OGTT cut off mentioned is 140 at 1 hour. And here it's 130. If you can please clear the confusion. By d way, many thanks for your gr8 lectures.
Thank you Dr. Bolin, thank you for your hard work. These lectures are really awesome!
Beauty of this is.. the video was posted two years ago but it can still help someone today. Thanks Dr. Bolin.
Beauty is..this videos help me even after 6 years❤
Excellent presentation! Great info for med. students & doctors alike
Quick update for Aussie students/drs:
as per latest RANZCOG, the recommended screening regime in Australia is a 75 gram two-hour Pregnancy Oral Glucose Tolerance Test (POGTT). GDM is currently diagnosed by a fasting glucose level of >= 5.5mmol/L OR a 2-hour level >= 8.0mmol/L.
Thanks Paul for all these awesome videos!
Thank you for this! I have a feeling the U.S. will soon be moving in this direction.
Holy cow this video was great. Straight to the point, very well spoken, super clear. Thanks a lot!
i love these videos. im looking through them now that i'm pregnant since it's been 7 years since my last baby. I wanted to give my very anecdotal experience. I gave birth to two macrosomal babies, one 4380gr and one 4300gr with a SO of 37cm and the first one was at home, the second one at hospital. The first one, I received a episiotomy and the second one, I gave birth to with nearly zero trauma to the area and I had no complications after the birth with either. Oh, and no, my babies were just huge because of their dad. I had no GD and never had issues with diabetes
Thank you for making this channel and for sharing it with all of us!
Gynecology is the last exam I have to pass and I am really surprised how you have explained so well most of ot the topics I need to know.
I want to add some points
-if the OGCT is 200 and above u dont need to do the fasting OGTT.
-in case of the first step in management with the diet modification you can also recommend moderate aerobic exercises.
-for the delivery there is no harm to wait for spontaneous delivery of diabetes is well controlled and the fetus is doing well.
-for the postpartum follow up.
At 6-12 weeks postpartum they should be tested for overt diabetes with the 75g OGTT.
Pregnancy is a diabetogenic state. So pregnancy is a good screening test actually for developing overt diabetes.
I did not fail both tests, but I still was diagnosed with gestational diabetes. It was very close though, and they had me test my blood sugar 4 times per day, and my fasting was always high, but my after meals was always normal. Now they make me take insulin before bed. Is that normal? I think maybe the kicker is that I had prediabetes which I had been managing without any medication for years.
Good clear video, question about the rule of 15s though. If 15% women are positive on screening test and then if those 15% test positive for GDM that's just over 2% of women overall. But how does that square with 6%of pregnant women in US having GDM? or is my maths just rubbish 🙂
Very helpful lecture for my exam preparation. 18.08.2021 . 😊
Hi Paul. In 2nd trimester visit lecture - OGTT cut off mentioned is 140 at 1 hour. And here it's 130. If you can please clear the confusion.
By d way, many thanks for your gr8 lectures.
Ayaan kumar
Actually in moores essential its written 130-140
Man, i laughed when u started with the risk factors....made it really funny especially "... if you are not white".
Great video.Keep up the good work
I'm subcribing your patreon, bc I love your videos even though I'll be nurse not a doctor but yr videos helping me a lot 😉😉😉
Thank you a lot doctor, very nice and helpful lecture. 6/9/2019
thank you very much dr paul bolin it help me lot
I appreciate your videos very much, but I wish you wouldn't have ads since I donate to Patreon.
Great lecturer thanks
Thank you
FYI means 'for your information' 😊
thaaaanks a lot
Thank you I learned so much😊
tnx...that's so suitable
Thank youuu!!!!
Is it possible to download your PP?
thank youuu
Wow it was impressive
Hello .. In my book there is a test of T1 as well , since the Gestationnel diabetis only appears in T2.. What's the point of it ? Thx u are awesome
what a conscience video!!
where can we find the reference for this information?
What if i had fbg 107 from first bregnancy to 4 month but my HBA1C is 4.5 what should I do
Ur the best
movies