A 33-year-old woman with gestational diabetes diagnosed at 26 weeks attends the GP at 36 weeks. She has been managing with diet alone. Her capillary b...

Question

A 33-year-old woman with gestational diabetes diagnosed at 26 weeks attends the GP at 36 weeks. She has been managing with diet alone. Her capillary blood glucose readings over the past 2 weeks show fasting values of 5.9-6.2 mmol/L and 1-hour post-meal values of 8.2-8.8 mmol/L. According to NICE NG3, which is the single most appropriate next step?

Accepted Answer

Commence metformin

Answer

Continue dietary management as the values are acceptable

Answer

Commence insulin

Answer

Commence glibenclamide

Answer

Increase physical activity and recheck in 2 weeks

uk-drcog MCQ (SBA): Gestational Diabetes Management