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Old 08-15-2011
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ObGyn Diabetes complications in Pregnancy

A 32-year-old G1 at 10 weeks gestation presents for her routine OB visit. She is worried about her pregnancy because she has a history of insulin-requiring diabetes since the age of 18. Prior to becoming pregnant, her endocrinologist diagnosed her with microalbuminuria. She has had photo laser ablation of retinopathy in the past. Which diabetic complication is most likely to be worsened by pregnancy?

A) Benign retinopathy
B) Gastroparesis
C) Nephropathy
D) Neuropathy
E) Proliferative retinopathy
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Old 08-15-2011
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I would say nephropathy..
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Old 08-15-2011
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C) Nephropathy
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Old 08-15-2011
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nephropathy.....where do u get your ?
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Old 08-15-2011
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Quote:
Originally Posted by step1an View Post
A 32-year-old G1 at 10 weeks gestation presents for her routine OB visit. She is worried about her pregnancy because she has a history of insulin-requiring diabetes since the age of 18. Prior to becoming pregnant, her endocrinologist diagnosed her with microalbuminuria. She has had photo laser ablation of retinopathy in the past. Which diabetic complication is most likely to be worsened by pregnancy?

A) Benign retinopathy
B) Gastroparesis
C) Nephropathy
D) Neuropathy
E) Proliferative retinopathy
c. Nephropathy
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Old 08-15-2011
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Ok no...its the 12th hour of my studying and i have a headache n this question is boethering me lol....I think its gastroparesis...since pregnancy already decrease transit time in the stomach so it leads to constipation...So diabetes would add to that...Gfr increases in pregnancy and creatinine goes down....I dont know someone correct me if i am wrong...
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Old 08-15-2011
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Correct answer is E.
The incidence of renal failure is almost 30% in type 1 diabetics and 4% to 20% in type 2 diabetics. Pregnancy has not been found to exacerbate or modify diabetic nephropathy. Diabetic neuropathy and gastroparesis may complicate some pregnancies, but pregnancy does not affect the overall disease process. Proliferative retinopathy is the one diabetic complication that pregnancy is thought to worsen.
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