Question

A 35-year-old pregnant woman is diagnosed with gestational diabetes at 26 weeks. Her fasting glucose is 7.2 mmol/L. According to NICE guidelines, which is the recommended first-line intervention?

Accepted Answer

Lifestyle modifications (diet and exercise) and self-monitoring of blood glucose

Answer

Begin insulin therapy immediately

Answer

Oral sulfonylurea (gliclazide)

Answer

Metformin plus insulin from diagnosis

Answer

No intervention unless fasting glucose >7.8 mmol/L

Practice question

A 35-year-old pregnant woman is diagnosed with gestational diabetes at 26 weeks. Her fasting glucose is 7.2 mmol/L. According to NICE guidelines, which is the recommended first-line intervention?