Diet in Medicine / Internal Medicine — Case | Endocrinology | SMLE Q#415
SMLE Question #415
Medicine / Internal Medicine
Endocrinology
Last updated: February 2026
A 29-year-old primigravida at 30 weeks’ gestation has gestational diabetes mellitus not controlled with diet and exercise. Home glucose monitoring shows fasting values 6.1–6.7 mmol/L and 2-hour postprandial values 8.3–9.4 mmol/L. She has no other comorbidities, and fetal growth ultrasound is appropriate for gestational age. Which of the following is the most appropriate pharmacologic treatment to control her blood glucose during pregnancy?
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