Textbook Problem

Elizabeth is a 36-year-old who entered pregnancy with a BMI of 23.5 kg/m². She began receiving prenatal care at 32 weeks’ gestation and was screened for gestational diabetes the next day. Results of her oral glucose tolerance test revealed the following blood glucose levels:

  Fasting:    90 mg/dL

  1-hour:    195 mg/dL

  2-hour:    163 mg/dL

  Elizabeth’s health care provider advised her to consume a “no white food, no-sugar, low-carbohydrate diet” and to keep her weight gain low throughout the rest of pregnancy. She delivered a large infant (4750 g) at 39 weeks’ gestation.

1.    Did Elizabeth have gestational diabetes?