1. Regarding the initial diagnostic workup for gestational diabetes in this scenario, which of the following is most appropriate?

• Fasting blood sugar only
• Hemoglobin A1c (HbA1c)
• Oral glucose tolerance test (OGTT) with 75g glucose load
• Random blood sugar

2. An OGTT was performed, which confirmed the diagnosis of gestational diabetes. What is the first line of therapy for this patient?

• Metformin
• Glyburide
• Lifestyle modifications (diet and exercise)
• Insulin

3. What are the recommended target blood sugar levels for pregnant women with gestational diabetes?

• Fasting: <100mg/dL, 1-hour postprandial: <140mg/dL, 2-hour postprandial: <120mg/dL
• Fasting: <90mg/dL, 1-hour postprandial: <120mg/dL, 2-hour postprandial: <100mg/dL
• Fasting: <80mg/dL, 1-hour postprandial: <100mg/dL, 2-hour postprandial: <80mg/dL
• There are no specific target blood sugar levels for gestational diabetes.

4. The patient successfully manages her gestational diabetes with diet and exercise. Which of the following statements regarding postpartum follow-up is most accurate?

• No further testing is needed.
• A 1-hour postprandial blood sugar test should be done at 6 weeks postpartum.
• An OGTT with 75g glucose load should be done at 1 year postpartum.
• Both B and C are correct.

5. This patient is planning another pregnancy in the future. What is most important in preconception counselling for gestational diabetes?

• Starting metformin before pregnancy.
• Maintaining a healthy weight.
• Early and regular prenatal care.
• All of the above.