A 30-year-old G1P0 at 11 weeks' gestation has type 1 diabetes with HbA1c 8.8%. According to Diabetes Canada pregnancy guidance, which statement is mos...

Question

A 30-year-old G1P0 at 11 weeks' gestation has type 1 diabetes with HbA1c 8.8%. According to Diabetes Canada pregnancy guidance, which statement is most accurate regarding glycaemic targets in pregnancy?

Accepted Answer

Tighter glycaemic control with HbA1c ideally ≤6.5% (or as close to normal as safely possible) is recommended to reduce congenital anomalies

Answer

Targets are the same as for non-pregnant adults (HbA1c ≤7.0%)

Answer

Pregnant women with diabetes should avoid insulin adjustments in the first trimester

Answer

HbA1c is not useful in pregnancy

Answer

Only fasting glucose is important; postprandial values do not matter

ca-mccqe1 MCQ (SBA): Pre-existing diabetes in pregnancy

A 30-year-old G1P0 at 11 weeks' gestation has type 1 diabetes with HbA1c 8.8%. According to Diabetes Canada pregnancy guidance, which statement is most accurate regarding glycaemic targets in pregnancy?