Question
Physiologic Changes of pregnancy - Renal:
• Slight decrease in BUN and Creatinine
• ↑ [...]
• ↑ GFR
• Anatomic changes related to the effects of progesterone lead to dilatation of the ureters and renal pelvis (R>L)
• Glycosuria may be the result of these changes as the RBF increase exceeds that of the GFR preventing reabsorption as per the non-pregnant state
• Diagnosis of gestational diabetes mellitus should be made from blood studies not from glycosuria