Case Study: A woman presents to discuss the result of her glucose tolerance test.She is 42 years old and this is her sixth pregnancy.She has...
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Case Study:

A woman presents to discuss the result of her glucose tolerance test. She is 42 years old and this is her sixth pregnancy. She has previously had three C-sections, one early miscarriage, and a termination of pregnancy. All previous diagnostic tests were normal as were her 11-14 week and anomaly ultrasound scans.

The woman is of Indian ethnic origin but was born and has always lived in the U.S. She is now 26 weeks gestation and a glucose tolerance test has been ordered.

Examination

The body mass index (BMI) is 31. Blood pressure is 146/87. The fundal height is 29 cm and the fetal heart rate is normal on auscultation.

Urinalysis: 1+ glycosuria

Glucose tolerance test (glucose drink): 185 mg/dL

2 hour glucose tolerance test: 160 mg/dL

Questions:

  1. How would you document her obstetric history (GTPAL)?
  2. What is the diagnosis and on what criteria can this be made?

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