A 36-year-old primigravida at 26 weeks has no diabetes history. When and how should she be screened for GDM?...

Question

A 36-year-old primigravida at 26 weeks has no diabetes history. When and how should she be screened for GDM?

Accepted Answer

Two-step approach at 24-28 weeks: 50-g 1-hour screen, then 100-g 3-hour OGTT if positive

Answer

Early 75-g OGTT at 10 weeks for all

Answer

A1c alone at 24 weeks

Answer

Random glucose at 28 weeks only

Answer

No screening if asymptomatic

us-usmle-step-2 MCQ (SBA): Gestational Diabetes Screening