Flex Therapist CEUs

Gestational Diabetes Mellitus and Exercise

Gestational Diabetes Mellitus Update and Review of Literature

1. Patients at high risk for GDM and for whom testing should be performed as soon as possible, would be those who fulfill all of the following criteria, except for:

A. Patients with severe obesity. B. Patients with normal pre-pregnancy weight. C. Patients with a strong family history of type 2 diabetes. D. Patients with a previous history of GDM.

2. Higher maternal BMI is independently associated with an increasing frequency of:

A. Birth weight greater than the 90th percentile. B. Percentage body fat greater than the 90th percentile. C. Primary cesarean delivery. D. All of the above.

3. It is estimated that _____ of women diagnosed with GDM can achieve targeted glycemic goals with lifestyle modifications and nutritional therapy alone.

A. 20 - 30 % B. 40 - 60 % C. 70 - 90 % D. None of the above

4. The gestational weight gain before 24 weeks is a risk factor for GDM in overweight and obese patients, and also in patients with a normal BMI and those that are underweight before pregnancy.

A. True B. False

Gestational Diabetes Mellitus: Challenges in Diagnosis and Management

5. Evidence suggests that universal screening improves pregnancy outcomes compared to selective screening.

A. True B. False

6. Which of the following has been shown to have low sensitivity as a screening test for GDM, and therefore is not recommended for screening?

A. Fasting plasma glucose B. Postprandial plasma glucose C. Both (A) and (B) D. None of the above

7. The first line of management for women with gestational diabetes mellitus is:

A. Dietary modification B. Exercise C. Medication D. All of the above

8. For women with GDM, an OGTT should be performed:

A. Postpartum B. One year post-delivery C. Every 3 years D. All of the above

Exercise Improves Glycemic Control in Women Diagnosed with Gestational Diabetes Mellitus: A Systematic Review

9. There is strong evidence that exercise is a beneficial adjunctive therapy in the management of type 2 diabetes mellitus through its ability to increase glucose uptake and improve insulin sensitivity.

A. True B. False

10. Exercise is associated with a reduction of glycated hemoglobin in people with type 2 diabetes mellitus and is optimized by training of _____ minutes or more per week at moderate intensity.

A. 180 B. 150 C. 120 D. 90

11. Exercise does which of the following?

A. Increases insulin's action by stimulating glucose uptake in muscle via activation of intracellular glucose transporters. B. Increases the use of intracellular fatty acids. C. Alters the expression of muscle proteins involved in insulin responsiveness. D. All of the above.

12. Activation of which of the following improves glucose uptake?

A. Quadriceps B. Deltoids C. Trapezius D. Gastrocnemius

Exercise Intervention During Pregnancy Can Be Used To Manage Weight Gain and Improve Pregnancy Outcomes in Women with Gestational Diabetes Mellitus

13. A recent meta-analysis showed that high levels of activity _____ was significantly associated with a lower risk of GDM.

A. Before pregnancy B. In early pregnancy C. Both (A) and (B) D. None of the above

14. Women who reported exercising greater than five times a week were more likely to meet gestational weight gain recommendations.

A. True B. False

15. Exercise intervention during pregnancy can substantially combat which of the following GDM-related adverse outcomes:

A. Preterm birth B. Low birth weight C. Macrosomia D. All of the above

16. Excessive GWG in the _____ trimester is the chief contributor to increasing a woman's risk of GDM.

A. First B. Second C. Third D. All of the above


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