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Gestational diabetes — SCE Endocrinology MCQ

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EasyEndocrinology in pregnancyGestational diabetesSCE Endocrinology

A 29-year-old woman is 26 weeks pregnant. OGTT shows fasting glucose 5.7 mmol/L and 2-hour glucose 8.3 mmol/L. She has no previous diabetes. What is the most likely diagnosis?

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Correct answer: B — Gestational diabetes

These OGTT results meet NICE thresholds for gestational diabetes. Type 1 diabetes would usually present with more marked hyperglycaemia, symptoms or ketones. Management starts with diet, exercise and glucose monitoring, escalating medication if targets are not met.

Reference: NICE NG3 Diabetes in Pregnancy