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Question 346 · LEK · Hyperglycemia in pregnancy

Due to the presence of risk factors for gestational diabetes, the patient underwent a 75- gram oral glucose tolerance test in the 10th week of gestation. The results of the test are as follows: fasting glucose: 96 mg/dL, after 1 hour: 177 mg/dL, and after 2 hours: 157 mg/dL. Based on the results, indicate which of the following statements are true:

1) the results are normal, the patient is healthy;
2) gestational diabetes is diagnosed;
3) fasting blood glucose level fulfils the criterion for diagnosing gestational diabetes;
4) glucose level after 1 hour fulfils the criterion for diagnosing gestational diabetes;
5) glucose level after 2 hours fulfils the criterion for diagnosing gestational diabetes.
The correct answer is:
  1. A. only 1.
  2. B. 2,3,4,5.
  3. C. 2,4.
  4. D. 2,4,5.
  5. E. 2,3,5.
Hint

Compare each value with the IADPSG/WHO thresholds for the 75 g OGTT in pregnancy; a single abnormal value is enough for diagnosis.

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