Question

A 30-year-old woman with gestational diabetes mellitus controlled on diet delivers a healthy infant at 39 weeks' gestation. Her intrapartum blood glucose values were normal. According to Canadian guidelines, what is the most appropriate follow-up screening strategy for type 2 diabetes after delivery?

Accepted Answer

Order a 75 g oral glucose tolerance test at about 6 weeks postpartum

Answer

No postpartum screening is required if intrapartum glucose was controlled

Answer

Screen only with home capillary glucose monitoring as needed

Answer

Screen with random plasma glucose at 12 months postpartum only

Answer

Delay any screening until her next pregnancy

Practice question