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Q.9. A 36-year-old woman with type 2 diabetes presents reporting that she has
missed her most recent menstrual cycle. Urine human chorionic gonadotropin
testing in the office confirms that she is pregnant. Her diabetes has been treated
with glyburide 10 mg once a day. Her most recent hemoglobin A1c has been 8.2.
At this point, she should
A. Continue with her current regimen
B. Increase the dosage of her sulfonylurea
C. Add metformin to her regimen
D. Discontinue glyburide and start insulin
E. Switch glyburide to metformin

dddd

Answer: D. Insulin is the drug of choice for control of blood sugar during
pregnancy. The patient should be educated about the importance of as near
normal blood glucose levels as possible during the pregnancy. She should also be
referred to a maternal-fetal medicine specialist and/or an endocrinologist for
management.