Pregnancy Facts

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

Diabetes facts

■ 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.

Fasting Plasma Glucose Interpretation.

Interpretation of fasting
plasma glucose


1.FPG < 5.5mmol/L
• 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