Test Your Knowledge Issue 430

Insulin controlled her blood glucose for the remainder of her pregnancy with good success. She had an uncomplicated delivery at 39 weeks of a healthy baby boy weighing 3.3 kg (7.2 lb). Her blood glucose level has normalized since delivery. She has no symptoms now but wants to know if she should be concerned about diabetes in her future.

Which of the following is the most appropriate advice for this patient?

A. The patient is not at increased risk of diabetes in the future but her infant son is, so he should be screened periodically

B. he has a high risk of developing diabetes only if she becomes pregnant again

C. She is at increased risk for progression to diabetes and should undergo a glucose tolerance test at 6 weeks postpartum with periodic diabetes screening thereafter if results are negative

D. She should start metformin now to prevent progression to diabetes

E. If she exercises vigorously and reaches her prepregnancy weight, her risk of developing diabetes will be equal to that of the general population

For the correct answer, please click here.