Jacqueline is a 42-year-old woman who is in her third trimester of pregnancy. Jacqueline has had three other children; their birth weights were 9.0 lbs, 9.5 lbs and 9.3 lbs. Jacqueline is a smoker with high blood pressure, and has gained 75 pounds during the last 4 months. 1. What is your diagnosis? 2. What test can you use to confirm your diagnosis? 3. What is Jacqueline's prognosis? 4. What treatments are available?

Diabetes mellitus is a metabolic condition that occurs when the pancreas fails to produce enough insulin or when the body fails to use the insulin produced for glucose metabolism thereby leading to hyperglycaemia (increased blood glucose levels).

In pregnancy, diabetes is suspected in women who give this type of history:

Constant monitoring of Jacqueline is required to prevent complications during and after the pregnancy. This is done by performing series of tests and giving insulin injections when the need arises.

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