Diabetes in pregnancy (GDM, T1DM, and T2DM) Quiz: Ace Your Exams
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A 31-year-old woman, gravida 2, para 1, presents for her initial antenatal visit at eight weeks of gestational age based on her last menstrual period. She reports mild nausea and vomiting but is able to stay hydrated and maintain oral intake. She also has increased fatigue and mild constipation but no cramping, abdominal pain, or bleeding. Her first pregnancy was complicated by gestational diabetes (GDM), and a 2-hour oral glucose tolerance test (OGTT) was abnormal six weeks postpartum. She currently takes metformin and has good glycemic control with a hemoglobin A1c of 6.1 three months ago. She has no other medical problems, and her only other medication is a prenatal vitamin. Temperature is 36.5°C (97.7°F), pulse is 72/min, respirations are 18/min, and blood pressure is 120/80 mmHg. She is well-appearing with normal chest, abdominal, and pelvic exams. The fetal heart rate is 165/min. In addition to standard screening tests ordered in the first trimester, what additional test should be ordered for this patient?
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