Pre-conception, pregnancy and postnatal advice to women with diabetes​

Approximately 35,000 women with pre-existing or gestational diabetes give birth each year. Approximately what PERCENTAGE of these women have pre-existing type 2 diabetes? Select ONE option only.

A 28-year-old woman with pre-existing type 2 diabetes is planning for her first pregnancy in about 12 months’ time. What is the RECOMMENDED frequency of HbA1c testing she should now commence? Select ONE option only.

A 31-year-old woman has type 1 diabetes and diabetic nephropathy. Which SINGLE method of contraception is regarded as UKMEC category 1 in her situation? Select ONE option only.

Which is the SINGLE MOST appropriate urine ACR threshold (mg/mmol) ABOVE WHICH referral to a renal specialist is recommended for a woman with diabetes who is planning to become pregnant? Select ONE option only.

Which is the SINGLE MOST appropriate pre-conception HbA1c target for women with diabetes (if achievable without problematic hypoglycaemia)? Select ONE option only.

What is the THRESHOLD HbA1c level ABOVE WHICH pregnancy is NOT recommended for women with diabetes due to the associated risks? Select ONE option only.

Which SINGLE ONE of the following oral antidiabetic medications, if any, is licensed for use during pregnancy? Select ONE option only.

A 44-year-old woman has type 2 diabetes and is 6 weeks pregnant. She has been advised to start antihypertensive medication due to her blood pressure readings. Which is the SINGLE MOST appropriate antihypertensive medication to recommend? Select ONE option only.

A 24-year-old woman with type 1 diabetes informs you she is 5 weeks pregnant. Her 2-year-old daughter was born by normal vaginal delivery after an uncomplicated pregnancy.   In addition to seeing a midwife, which is the SINGLE MOST appropriate advice regarding referral for specialist antenatal care? Select ONE option only.

According to NICE (2015) guidance, which TWO of the following reach the diagnostic threshold above which gestational diabetes is diagnosed? Select TWO options only.

Which SINGLE ONE of the following is a recognised risk factor for gestational diabetes? Select ONE option only.

A 29-year-old woman is diagnosed with gestational diabetes. Her fasting glucose level at diagnosis was 7.1 mmol/L. Which is the SINGLE MOST appropriate INITIAL management recommendation? Select ONE option only.