Gestational diabetes

• Facts:
  Maintain fasting glucose between 75 -90 mg/dL
  
• Treatment:
  Low sugar diet/exercise (first choice)
  SubQ insulin (does NOT cross placenta)
• Complications:
  Macrosomia
  Hypocalcemia , hypoglycemia
  Hyperviscosity (from polycythemia)
  Respiratory difficulties, CHF