Flipping the Classroom: Gestational Diabetes

UVLe is down!!! So I am posting this here for my students.

Pre-meeting

1. Read about “Gestational Diabetes” in Harrison’s.

2. Watch Gayle in “Pregnant with Gestational Diabetes” at http://youtu.be/BguNb3lMIos.

The video raises the following questions. Take down notes from the references indicated to answer these questions.

• How was she diagnosed to have gestational diabetes? Read p. 29 of the summary of the Philippines Unite for Diabetes Clinical Practice Guidelines for the Diagnosis and Management of Diabetes (Part 1: Screening & Diagnosis). Compare this with the American Diabetes Association Standards of Medical Care p. S15-S16.

• What are the risk factors for gestational diabetes? View the slide deck entitled “Philippine CPG on Diagnosis and Screening for Gestational Diabetes” at http://www.slideshare.net/isiptan/philippine-cpg-on-diagnosis-screening-for-gestational-diabetes, particularly slide 26 and 27.

• What is the recommended diet for women with gestational diabetes? View slide deck entitled “Clinical Practice Guideline: Gestational Diabetes” at http://www.slideshare.net/isiptan/clinical-practice-guideline-gestational-diabetes particularly slides 14-18. View slide deck entitled “Diabetes in Pregnancy” at http://www.slideshare.net/isiptan/diabetes-in-pregnancy-2543217 particularly slides 18-28. Read also p. S69 of the position statement of the American Diabetes Association – Nutrition Recommendations and Interventions for Diabetes.

• How often does she need to monitor her blood sugar and what are the recommended glucose targets? View slide deck entitled “Clinical Practice Guideline: Gestational Diabetes” at http://www.slideshare.net/isiptan/clinical-practice-guideline-gestational-diabetes particularly slides 20-23. View slide deck entitled “Diabetes in Pregnancy” at http://www.slideshare.net/isiptan/diabetes-in-pregnancy-2543217 particularly slides 15-16. Read also the International Diabetes Federation Global Guideline on Diabetes and Pregnancy p. 10-11.

• When should insulin be started? Read p. S174 of the 2013 Canadian Diabetes Association Clinical Practice Guidelines for the prevention and management of diabetes.

• How is gestational diabetes managed during labor and delivery? View slide deck entitled “Diabetes in Pregnancy” at http://www.slideshare.net/isiptan/diabetes-in-pregnancy-2543217 particularly slides 37-38. Read p. S175 of the 2013 Canadian Diabetes Association Clinical Practice Guidelines for the prevention and management of diabetes.

 

3. Watch Gayle 3 years after giving birth at http://youtu.be/c5naft62lr4.

What is the recommended follow up after gestational diabetes? View the slide deck “Postpartum Gestational Diabetes: Opportunities for Screening for Type 2 Diabetes” on http://www.slideshare.net/isiptan/postpartum-gestational-diabetes-opportunities-for-screening-for-type-2-diabetes particularly slide 11. Read p. S175-176 of the 2013 Canadian Diabetes Association Clinical Practice Guidelines for the prevention and management of diabetes.

 

Meeting

1. There will be an individual quiz with 12 questions. Time limit is 30 minutes.
2. The same quiz will be answered as a team. The team is allowed 30 minutes to submit their final answers to the quiz.
3. The teacher will run through the questions and discuss answers with the teams.