A fasting blood glucose screening test is performed on a pregnant client. The results indicate that the blood glucose level is 140 mg/dL (8 mmol/L). The nurse should anticipate that which treatment measure would most likely be prescribed next for the mother. 1. An oral hypoglycemic agent. 2. A-hour glucose tolerance test. 3.Humulin N insulin on a daily basis. 4. A sliding-scale regular insulin doses.
Answer
1. An oral hypoglycemic agent.
Explanation
In this case, the blood sugar level is above normal since pre-meal glucose levels should be between 60 and 95 mg/dl, and one-hour post-meal readings should be between 100 and 129 mg/dl. Additionally, the oral hypoglycemic could help in that they increase insulin action and insulin-mediated glucose utilization in peripheral tissues particularly after meals which helps in reducing the hepatic glucose output returning to normal levels
