OGT Post-Test Care and Clinical Follow-Up 2

Question 1

Which finding on OGTT follow-up indicates that a previously prediabetic patient has progressed to type 2 diabetes?

Accepted Answer

Fasting glucose ≥126 mg/dL confirmed on repeat testing

Answer

A fasting plasma glucose ≥126 mg/dL confirmed on repeat testing meets ADA criteria for diagnosing type 2 diabetes mellitus.

Question 2

A patient with GDM who delivers a healthy baby should be counseled that GDM resolves postpartum but increases risk of:

Accepted Answer

Type 2 diabetes and cardiovascular disease later in life

Answer

Women with a history of GDM have significantly elevated lifetime risks of type 2 diabetes and cardiovascular disease and require ongoing metabolic surveillance.

Question 3

Which medication is sometimes prescribed after OGTT confirms prediabetes to delay progression to type 2 diabetes?

Accepted Answer

Metformin

Answer

Metformin is the only pharmacological agent recommended by the ADA for diabetes prevention in high-risk prediabetic individuals when lifestyle intervention is insufficient.

Question 4

After a normal OGTT result in a patient with risk factors (obesity, family history), retesting is generally recommended in:

Accepted Answer

1–3 years

Answer

For asymptomatic adults with risk factors and a normal OGTT, the ADA recommends retesting every 1–3 years based on individual risk profile.

Question 5

Which specialist referral is MOST appropriate for a newly diagnosed gestational diabetes patient?

Accepted Answer

Certified diabetes educator (CDE) and registered dietitian

Answer

A certified diabetes educator and registered dietitian provide the core of GDM management — blood glucose education, medical nutrition therapy, and self-monitoring skills.

OGT - Oral Glucose Tolerance Practice Test

OGT - Oral Glucose Tolerance Practice Test

OGT Post-Test Care and Clinical Follow-Up 2