AMC EXAMS AUSTRALIA ,AUSTRALIAN MEDICAL EXAMS,MCQS,CLINICALS.

Child-bearing years span almost four decades, giving the GP ample opportunity to educate and prepare women for pregnancy. ■ 70-90% of women with bipolar disease and 60% of those with major depression will relapse if psychotropic medication is ceased in pregnancy. ■ It is recommended that the HbA1c be maintained at ≤6 in women with diabetes before and during pregnancy. ■ Maternal perinatal depression is a risk factor for premature birth, reduced foetal growth ,PET, poor neonatal bonding and longer-term neurodevelopmental problems. ■ Although there is no established safe level of alcohol, 10-15% of women continue to drink throughout

■ Lifestyle interventions can prevent or delay diabetes in half the people who have IGT. ■ Begin risk assessment at age 40, or age 18 in Aboriginal and Torres Strait Islanders. ■ AUSDRISK may overestimate risk in those under 25 years of age and underestimate risk in Aboriginal and Torres Strait Islanders. ■ The risk of developing type 2 diabetes increases by 10-20 times in people with IFG or IGT. ■ 41% of type 2 diabetes patients and 76% of type 2 diabetes patients who are not using insulin never check their BGLs. ■ Only strategies that increase an individual’s skills while providing a supportive environment can produce sustainable lifestyle changes.

Interpretation of fasting plasma glucose 1.FPG • diabetes unlikely • retest after three years 2.FPG ≥ 7mmol/L • diabetes likely • repeat FPG unless diagnosis unequivocal 3.FPG 5.5-6.9mmol/L • diabetes possible • perform oral GTT • retest annually