A 29-year-old woman at 29 weeks has gestational diabetes managed with dietary advice and exercise. For the past 2 weeks, her fasting capillary glucose concentrations have been 5.4–5.8 mmol/L (target less than 5.0), while all 2-hour postprandial values are below 6.7 mmol/L. She has an estimated glomerular filtration rate of 38 mL/min/1.73 m² (greater than 60) and no ketonuria. Which one of the following is the most appropriate next treatment?
Keep going with ten more like this one.
Practise moreMore from Obstetrics and Gynaecology
See allA 32-year-old woman attends for the result of her first cervical screening test under the renewed National Cervical Screening Program. She is asymptomatic and h…
Clinical rotations · common
A 24-year-old woman with seven weeks of amenorrhoea and a positive home pregnancy test presents with two days of left-sided lower abdominal pain and light vagin…
Pre-internship · middle twist
A 34-year-old woman at 33 weeks in her third pregnancy, who smokes and has chronic hypertension, presents with two hours of constant severe abdominal pain that…
Pre-internship · middle twist
A 31-year-old woman in her first pregnancy presents at 36 weeks with a frontal headache and "flashing lights" for six hours. Her blood pressure was 11…
Pre-internship · common
A 32-year-old woman shares a bedroom with her partner, who has been admitted with laboratory-confirmed meningococcal meningitis. She has no fever or rash and fe…
Clinical rotations · middle twist