Preconception counseling is critical in the safe management of diabetic pregnancies.Which complication is commonly associated with poor glycemic control before and during early pregnancy?
A) Frequent episodes of maternal hypoglycemia
B) Congenital anomalies in the fetus
C) Hydramnios
D) Hyperemesis gravidarum

Question

Quizplus · Accepted Answer

Preconception counseling is particularly important since strict metabolic control before conception and in the early weeks of gestation is instrumental in decreasing the risk of congenital anomalies.Frequent episodes of maternal hypoglycemia may occur during the first trimester (not before conception)as a result of hormonal changes and the effects on insulin production and use.Hydramnios occurs approximately 10 times more often in diabetic pregnancies than in nondiabetic pregnancies.Typically,it is observed in the third trimester of pregnancy.Hyperemesis gravidarum may exacerbate hypoglycemic events because the decreased food intake by the mother and glucose transfer to the fetus contribute to hypoglycemia.

Preconception Counseling Is Critical in the Safe Management of Diabetic