A 31-year-old woman is 28 weeks pregnant and has fasting glucose 5.7 mmol/L on oral glucose tolerance testing. She has no ketones and fetal growth is

Question

A 31-year-old woman is 28 weeks pregnant and has fasting glucose 5.7 mmol/L on oral glucose tolerance testing. She has no ketones and fetal growth is appropriate. What is the most appropriate management?

Accepted Answer

Dietary advice, glucose monitoring and escalation if targets are not met

Answer

Metformin without glucose monitoring

Answer

Oral sulfonylurea as first-line therapy

Answer

Cease antenatal care until postpartum testing

Answer

Immediate insulin for every patient

Gestational diabetes — RACP Written MCQ

A 31-year-old woman is 28 weeks pregnant and has fasting glucose 5.7 mmol/L on oral glucose tolerance testing. She has no ketones and fetal growth is appropriate. What is the most appropriate management?