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Type 1 diabetes in pregnancy — SCE Endocrinology MCQ

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ModerateDiabetesType 1 diabetes in pregnancySCE Endocrinology

A 30-year-old woman with type 1 diabetes has morning nausea and missed periods. She has a positive pregnancy test and HbA1c 49 mmol/mol. She asks about glucose monitoring. What is the most appropriate target-monitoring approach?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Frequent glucose monitoring with pregnancy-specific glycaemic targets

Pregnancy in type 1 diabetes requires frequent glucose monitoring and tighter pregnancy-specific targets while avoiding hypoglycaemia. HbA1c alone is insufficient because daily excursions affect fetal risk. Urine glucose testing is not a reliable substitute.

Reference: NICE NG3; NICE NG17