uk-drcog MCQ (SBA): GDM - Adding Insulin to Metformin

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ModerateAntenatal Care & ComplicationsGDM - Adding Insulin to Metforminuk-drcog

A 26-year-old primigravida attends the GP at 34 weeks of gestation. She has been diagnosed with gestational diabetes at 28 weeks and was started on metformin. Despite maximum-dose metformin (2 g daily), her fasting glucose remains 6.0-6.4 mmol/L (target <5.3 mmol/L). Which is the single most appropriate next step?

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uk-drcog MCQ: GDM - Adding Insulin to Metformin — Answer & Explanation