Q:

Why should we monitor blood glucose levels?

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A 32-year-old lady office secretary of Indian origin with history of polycystic ovarian syndrome has conceived by ovulation induction. Her dad has hypertension and her mother has diabetes for 12 years. On examination, she is 160 cm, weighs 76 kg, and physical examination shows acanthosis, hirsutism, her BP is 120/70 mm Hg. Other systemic examination is unremarkable. She is seen by another obstetrician at 10 weeks of gestation and is advised oral glucose tolerance.

Why should we monitor blood glucose levels?

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The prevalence of gestational diabetes is strongly related to the patient’s race and culture. Prevalence rates are higher in black, Hispanic, Native American, and Asian women than in white women. For example, typically, only 1.5–2% of white women develop gestational diabetes mellitus, whereas Native Americans from the southwestern United States may have rates as high as 15%. In Hispanic, black and Asian populations, the incidence are 5–8%. Hence, high-risk population should be screened for gestational diabetes.

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