A 31-year-old woman with pregestational Type 2 diabetes is being counselled on glycemic targets in the third trimester. According to ADA recommendations for pregnancy, the target 1-hour postprandial capillary glucose is:

• A Below 110 mg/dL
• B Below 130 mg/dL
• C Below 160 mg/dL
• D Below 140 mg/dL ✓

Explanation

ADA targets in pregnancy are fasting capillary glucose below 95 mg/dL, 1-hour postprandial below 140 mg/dL and 2-hour postprandial below 120 mg/dL. These thresholds derive from normative data in uncomplicated pregnancies and balance fetal benefit against maternal hypoglycaemia risk. Option B corresponds roughly to the 2-hour target rather than the 1-hour value, and option C exceeds all recommended postprandial limits, making it clearly incorrect.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.