EP097 - Gestational Diabetes Management

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical case study focusing on a 34-year-old first-time mother with abnormal results from a glucose tolerance test (GTT), indicating gestational diabetes. It serves as an instructional scenario for medical candidates, detailing the patient's condition and asking the candidate to gather further history, assess findings, diagnose the patient, and outline a management plan. The case further provides examiner instructions, potential patient questions, and expectations for candidate performance, emphasising the importance of recognising the diagnosis, recommending dietary changes, frequent blood sugar monitoring, and considering insulin therapy if necessary, all while being mindful of potential fetal complications like macrosomia and increased risk of pre-eclampsia for the mother. The core purpose is to evaluate a candidate's ability to diagnose and appropriately manage gestational diabetes.

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