Approach to diabetes in pregnancy Quiz: Ace Your Exams
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A 29-year-old woman, gravida 2 para 1 at 26 weeks of gestation presents for routine prenatal care. She has no significant past medical history and her first pregnancy was uncomplicated. The patient undergoes a 50-gram glucose challenge test and the 1-hour plasma glucose level is 145 mg/dL. A 100-gram oral glucose tolerance test is performed and shows the following glucose values: fasting95 mg/dL, 1-hour 190 mg/dL, 2-hour 155 mg/dL, and 3-hour 145 mg/dL. The patient subsequently undergoes intensive dietary modifications and initiates regular moderate physical activity. Her self-monitoring of blood glucose shows postprandial glucose levels ranging from 95-115 mg/dL. Based on these results, which of the following is the most appropriate next step in management?
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