1,2 (10.04) (10.04) (10.04 -10.05) (10.04) Diabetes Mellitus Understand how pregnancy influences Perform, under supervision, RCOG Scientific 1,2 1,2,3 diabetes and how diabetes can impact appropriate assessment and impact paper No. 1,2 (10.05) Gestational Diabetes upon the pregnancy for both management of women with 23 Diagnosis and complicated and uncomplicated pre-gestational diabetic treatment of diabetes. complications Gestational diabetes. 1,2 Pre-existing diabetes: pathogenesis & Ability to take an appropriate classification, prevalence, complications history and conduct an NICE Guideline (metabolic, retinopathy, nephropathy, examination to assess a NG3 (2015) neuropathy, vascular disease). woman with pre-gestational Diabetes in diabetes. Pregnancy: 1,2,3 1,2 management Know how to undertake pre-pregnancy from assessment and screening for Ability to perform and interpret preconception to complications. appropriate investigations the postnatal formulate, implement and 1,2 period. where appropriate modify a Know how to monitor and optimise RCOG Patient multi-disciplinary management glucose control in pregnancy and information plan. postpartum. 1,2 (2013). Gestational (10.04-10.05) Know how to manage hypoglycaemia diabetes. Liaise with diabetologists, and ketoacidosis in pregnancy. 1,2 diabetic nurse specialists, Attendance at dieticians, and other specialists Know how to appropriately monitor the Obstetric Medical where appropriate, counsel, fetal condition at all stages of clinics / maternal and fetal risks, pregnancy. 1,2 diabetes clinics. importance of good glycaemic control (including use of insulin (10.05) in GDM) STRATOG Understand how GDM is identified in Advanced, pregnancy, its impact and how to Maternal Discuss long-term mitigate its effects. Understand its short Medicine contraception options and the and long term implications. eLearning: management future Gestational pregnancies.
(10.04) Diabetes Mellitus (10.05) Gestational Diabetes 1,2 1,2 (10.04) Understand how pregnancy influences diabetes and how diabetes can impact upon the pregnancy for both complicated and uncomplicated diabetes. Pre-existing diabetes: pathogenesis & classification, prevalence, complications (metabolic, retinopathy, nephropathy, neuropathy, vascular disease). Know how to undertake pre-pregnancy assessment and screening for complications. Know how to monitor and optimise glucose control in pregnancy and postpartum. Know how to manage hypoglycaemia and ketoacidosis in pregnancy. Know how to appropriately monitor the fetal condition at all stages of pregnancy. (10.05) Understand how GDM is identified in pregnancy, its impact and how to mitigate its effects. Understand its short and long term implications. 1,2 1,2 1,2 1,2 1,2 1,2 1,2 (10.04) Perform, under supervision, appropriate assessment and management of women with pre-gestational diabetic complications Ability to take an appropriate history and conduct an examination to assess a woman with pre-gestational diabetes. Ability to perform and interpret appropriate investigations formulate, implement and where appropriate modify a multi-disciplinary management plan. (10.04-10.05) Liaise with diabetologists, diabetic nurse specialists, dieticians, and other specialists where appropriate, counsel, maternal and fetal risks, importance of good glycaemic control (including use of insulin in GDM) Discuss long-term contraception options and the management future pregnancies. 1,2,3 1,2,3 (10.04 -10.05) RCOG Scientific impact paper No. 23 Diagnosis and treatment of Gestational diabetes. NICE Guideline NG3 (2015) Diabetes in Pregnancy: management from preconception to the postnatal period. RCOG Patient information (2013). Gestational diabetes. Attendance at Obstetric Medical clinics / diabetes clinics. STRATOG Advanced, Maternal Medicine eLearning: Gestational
obstetric-medicine-atsm-2018.docx