American Board of Family Medicine (ABFM) Practice Exam

What is the appropriate follow-up treatment for a woman who has had gestational diabetes to lessen future risks?

1. Routine glucose monitoring

2. Immediate bariatric surgery

3. Only dietary changes

4. Weekly exercise programs

The correct answer is: Routine glucose monitoring

The appropriate follow-up treatment for a woman who has had gestational diabetes focuses on routine glucose monitoring. This approach is essential because women with a history of gestational diabetes are at increased risk for developing type 2 diabetes later in life. Regular monitoring allows for the early detection of any glucose intolerance or abnormalities, enabling timely intervention to manage blood sugar levels effectively. Additionally, while lifestyle changes like dietary modifications and increased physical activity are important components of long-term management and can contribute positively to health, routine glucose monitoring serves as a proactive measure to assess metabolic health. It provides critical information that can guide further lifestyle or medical interventions. Other options, such as immediate bariatric surgery, are not standard follow-up treatments and are typically reserved for individuals with obesity and related comorbidities, rather than specifically for someone with a history of gestational diabetes. Dietary changes are part of a healthy lifestyle but lack the systematic and ongoing monitoring aspect that is crucial for preventing type 2 diabetes. Lastly, weekly exercise programs are beneficial for overall health but should be combined with regular glucose monitoring to ensure the woman remains within a healthy range.