Interactive diabetes case 11: A 34-year-old pregnant patient with type 2 diabetes – B1

ANSWER — 

Incorrect.

Frequent monitoring of blood glucose values is essential in pregnant women with type 1 and type 2 diabetes. Intensive management of postprandial glucose levels, which are elevated during pregnancy-associated diabetes, is associated with improved glycemia, a lower incidence of large for gestational age infants, and a reduced rate of cesarean delivery for cephalopelvic disproportion. The usual glucose profile during pregnancy-associated diabetes includes an exaggerated rise shortly after the meal and then a relatively precipitous fall. One-hour postprandial glucose testing may be superior to two-hour postprandial glucose testing in pregnancy-associated diabetes and is preferred by this consultant. Checking at two hours is an acceptable alternative. (See "Preexisting (pregestational) diabetes mellitus: Antenatal glycemic management".)

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