Question

A 27-year-old at 28 weeks' gestation has a 1-hour 50-g glucose challenge of 158 mg/dL. She is asymptomatic. What is the next step?

Accepted Answer

Obtain a 3-hour 100-g oral glucose tolerance test

Answer

Diagnose gestational diabetes and start diet therapy

Answer

Repeat the 1-hour screen in 1 week

Answer

Order HbA1c only

Answer

Start insulin empirically

Practice question

A 27-year-old at 28 weeks' gestation has a 1-hour 50-g glucose challenge of 158 mg/dL. She is asymptomatic. What is the next step?