Question 226 · LEK · Hyperglycemia in pregnancy

Which of the following should be done in the case of a patient without risk factors for diabetes if her fasting glucose level is 110 mg/dL in the 9th week of gestation?

  1. A. oral glucose tolerance test with 75g of glucose between 24th and 28th week of gestation.
  2. B. repeated fasting glucose examination.
  3. C. recommend diabetes diet.
  4. D. assessment of the 24-hour blood glucose profile.
  5. E. oral glucose tolerance test with 75g of glucose immediately.
Hint

Classify this early fasting value: normal, diagnostic of overt diabetes, or abnormal but non-diagnostic and needing further testing now.

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