What is the fasting blood glucose target for a pregnant patient with gestational diabetes?

What is the fasting blood glucose target for a pregnant patient with gestational diabetes?

• A. ≤110 mg/dL
• B. ≤95 mg/dL
• C. ≤105 mg/dL
• D. ≤120 mg/dL

Answer: (B)

In gestational diabetes, the goal is tight glycemic control to limit the fetus’s exposure to high maternal glucose, which can drive fetal insulin production and lead to complications like macrosomia and neonatal hypoglycemia. The fasting blood glucose target during pregnancy is set at 95 mg/dL or lower. This stricter threshold helps keep overnight and early-morning glucose levels in check, reducing the risk of fetal overgrowth and related issues. The other targets listed are higher and would permit more glucose to reach the fetus, increasing those risks. So the fasting goal of ≤95 mg/dL is the best choice.

In gestational diabetes, the goal is tight glycemic control to limit the fetus’s exposure to high maternal glucose, which can drive fetal insulin production and lead to complications like macrosomia and neonatal hypoglycemia. The fasting blood glucose target during pregnancy is set at 95 mg/dL or lower. This stricter threshold helps keep overnight and early-morning glucose levels in check, reducing the risk of fetal overgrowth and related issues. The other targets listed are higher and would permit more glucose to reach the fetus, increasing those risks. So the fasting goal of ≤95 mg/dL is the best choice.