Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What self-monitoring of blood glucose (SMBG) regimen is MOST beneficial for a pregnant woman diagnosed with gestational diabetes?

1. Monitor premeal

2. Monitor fasting

3. Monitor 1 or 2 hours postmeal

4. Monitor fasting and at bedtime

The correct answer is: Monitor 1 or 2 hours postmeal

Monitoring blood glucose levels is critical for pregnant women diagnosed with gestational diabetes, as it helps manage both maternal and fetal health. Checking blood glucose levels 1 or 2 hours after meals is particularly beneficial because it provides insight into how the body responds to food intake, which can be essential for ensuring that glucose levels remain within a target range. Post-meal monitoring can help identify any spikes in blood sugar that may occur after eating, allowing for timely adjustments to diet or medication if necessary. This data enables better management of overall glycemic control, helping to minimize risks associated with uncontrolled blood sugar levels, such as excessive fetal growth or complications during delivery. While monitoring pre-meal levels and fasting levels are important aspects of a comprehensive SMBG regimen, focusing on post-meal glucose levels can provide a more direct assessment of dietary impacts and lead to more appropriate interventions when needed. Monitoring at bedtime can also contribute to an overall understanding of a patient’s glucose management throughout the day, but it does not specifically address how food intake affects blood sugar levels as effectively as post-meal monitoring. Thus, monitoring 1 or 2 hours post-meal is a crucial aspect of diabetes management during pregnancy, making it a beneficial choice in this context.