This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical & Surgical Illness Complication Pregnancy, Subject name: Gynaecology & Obstetrics
A 32-year-old female with diabetes visits antenatal clinic at 6 weeks of amenorrhea. She has not been on any treatment. What is the first step in the management? 
Select and explain. 
A. Start Insulin, B. Start diet modification, C. Perform HbA1c, D. Perform PPBs
C: Perform HbA1c
Answer: C: Perform HbA1c 
Explanation: Ans. is c, i.e. Perform HbA1cThe first step is to do HbA1c to check her glucose status and assess the risk of fetal congenital malformations.