Question

Tx with insulin if fasting BGL is > ______ & 1 hour postprandial BGL is > __________ for gestational DM.

Option 1: 90; 130
Option 2: 100; 150
Option 3: 110; 160
Option 4: 120; 170

Answer 1

For managing gestational diabetes mellitus, insulin treatment begins if the fasting blood glucose level is higher than 95 mg/dL and the 1-hour postprandial level is higher than 140 mg/dL. The closest option given is Option 1: 90, 130, indicating treatment with insulin if fasting BGL is > 90 and 1-hour postprandial BGL is > 130 for gestational diabetes.

Step-by-step explanation:

Treatment with Insulin for Gestational Diabetes Mellitus (GDM):

For managing gestational diabetes mellitus (GDM), treatment with insulin is considered if the fasting blood glucose level (BGL) is higher than certain thresholds. Based on established guidelines, fasting BGL should be less than 95 mg/dL. For 1 hour postprandial (after meal) BGL, the target is less than 140 mg/dL. If fasting BGL is >​95 and 1 hour postprandial BGL is >​140, then initiating insulin therapy may be necessary.

However, as the options provided don't exactly match the standard targets but rather present thresholds for starting insulin, we use the closest numbers which are Option 1: 90, 130. This means that insulin treatment should be considered if the fasting blood glucose level is greater than 90 mg/dL and the 1-hour postprandial blood glucose level is greater than 130 mg/dL in the context of gestational diabetes.