Post-Knowledge Check

1) A clinician is recommending for gestational diabetes screening for a woman in their practice. Which of the following statements is TRUE?

a) Gestational diabetes is not associated with significant long-term outcomes on the child but can increase the risk of type 2 diabetes in the mother.

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b) Screening for gestational diabetes is only recommended for women with a family history of type 2 diabetes.

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c) Screening is normally recommended at 24-28 weeks gestation.

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d) The preferred screening test is hemoglobin A1C

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2) A woman is screened with the 50 g glucose challenge test. She has plasma glucose of 7.2 mmol/L one hour later. What is the most appropriate course of action?

a) Nothing, she has a normal glucose reading.

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b) She should be sent for additional screening with a 75 g oral glucose tolerance test.

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c) She can be diagnosed with gestational diabetes.

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3) A person is diagnosed with gestational diabetes. Her clinician is reviewing the management. Which of the following statement is TRUE?

a) All women with gestational diabetes should be managed with insulin at diagnosis.

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b) Nutritional therapy and physical activity have limited benefit in gestational diabetes management.

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c) Sitagliptin, metformin and glyburide have been shown to been as effective and safe as insulin in gestational diabetes.

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d) Insulin should be initiated within 2 weeks of diagnosis if the patient’s blood glucose is not in the target range.

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