Gestational Diabetes Mellitus Quiz

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What is the appropriate fasting plasma glucose level that indicates a diagnosis of GDM using the One-Step Strategy?

95 mg/dL

85 mg/dL

92 mg/dL (correct)

90 mg/dL

Which of the following is NOT a criterion for the diagnosis of GDM using the Two-Step Strategy?

Fasting ≥ 95 mg/dL

3-hour ≥ 140 mg/dL

2-hour ≥ 155 mg/dL

1-hour ≥ 180 mg/dL (correct)

What is the primary method of managing gestational diabetes mellitus (GDM)?

Exercise regimen

Insulin therapy

Diet modification (correct)

Oral hypoglycemic agents

Which of the following oral hypoglycemic agents is considered safe for use during pregnancy?

Glibenclamide (A), Glyburide (C) Signup and view all the answers

At what weeks of gestation do insulin requirements notably increase for women with GDM?

Weeks 28 to 32 (D) Signup and view all the answers

What is the target 1-hour postprandial glucose threshold for women with GDM?

140 mg/dL (A) Signup and view all the answers

Which of the following is a potential risk factor for developing GDM?

Family history of diabetes (A) Signup and view all the answers

Which complication is specifically associated with gestational diabetes mellitus?

Caudal regression syndrome (B) Signup and view all the answers

GDM Screening

Detecting gestational diabetes mellitus (GDM) in pregnant women between 24-28 weeks.

GDM Diagnosis (One-Step)

Diagnosed with GDM if any of these glucose levels are met in a 75g Oral Glucose Tolerance Test (OGTT): Fasting ≥ 92mg/dL, 1-hour ≥ 180mg/dL, 2-hour ≥ 153mg/dL.

GDM Diagnosis (Two-Step)

Two-Step strategy uses a 50g non-fasting test followed by a 100g fasting OGTT; diagnosis follows Carpenter-Coustan criteria where 2 values from fasting ≥ 95mg/dL, 1-hour ≥ 180mg/dL, 2-hour ≥ 155mg/dL, 3-hour ≥ 140mg/dL are met.