Gestational Diabetes

A 32-year-old multigravida (G3P2) at 30 weeks of gestation is found to have gestational diabetes on routine screening. She has been on medical nutrition therapy for 4 weeks with SMBG monitoring. Her fasting glucose readings average 98–102 mg/dL and 2-hour postprandial readings average 155–165 mg/dL. She is otherwise healthy with no complications. What is the most appropriate next step?

A 28-year-old primigravida from Delhi presents at 24 weeks gestation for routine antenatal care. She is asymptomatic with a BMI of 26 kg/m². Her fasting blood glucose is 95 mg/dL and 2-hour post-75 g oral glucose tolerance test (OGTT) value is 168 mg/dL. Her HbA1c is 5.8%. What is the most appropriate next step in management?

A 24-year-old primigravida at 24 weeks of gestation presents for routine antenatal care. She is asymptomatic with no significant past medical history. As part of screening for gestational diabetes mellitus, which is the most appropriate investigation of choice?

A 28-year-old multigravida at 26 weeks of gestation has a 50-gram glucose challenge test result of 165 mg/dL. She is asymptomatic. Which is the most appropriate next investigation to confirm the diagnosis of gestational diabetes mellitus?

A 32-year-old woman with GDM diagnosed at 26 weeks gestation is being counseled about postpartum management. She asks about the difference between her current condition and overt diabetes mellitus. Which finding would be MOST specific for identifying a patient who will develop overt type 2 diabetes mellitus in the postpartum period rather than revert to normal glucose tolerance?