10 Years in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1582

SMLE Question #1582

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 29-year-old G2P1 woman at 28 weeks’ gestation has had type 1 diabetes mellitus for 10 years. She intensified her insulin regimen before conception, but home capillary glucose readings remain variable. Her obstetrician wants a laboratory test that best summarizes overall maternal glycaemic exposure over the past several weeks to months to help estimate fetal risk related to hyperglycaemia. Which test is most useful?

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