Respected Doctors, Please provide advice for this patient. A 27 years old primigravida is with 16 weeks pregnancy having spontaneous coception and is obese with more abdominal obesity; does not have previous history of Diabetes. I have done GTT (Glucose tolerance test) with 75 gm glucose showing fasting 82, 1 hr 206 and 2 hr 200 mg values. What should I advise diet and exercise for 15 day.
Should I again review with 7 times sugar testing at home or direct start Metformin 500 mg bd. The patient seems to have GDM (Gestational diabetes Mellitus). Thankyou.
