Question

A 25-year-old pregnant woman at 10 weeks' gestation attends for antenatal care. She has a BMI of 35 kg/m² and a history of gestational diabetes in her previous pregnancy. According to gestational diabetes guidelines, what is the most appropriate screening strategy in this pregnancy?

Accepted Answer

Early 75 g OGTT now, and repeat OGTT at 24-28 weeks if initial test is normal

Answer

No screening as she is under 28 weeks

Answer

Random non-fasting glucose at 24-28 weeks only

Answer

75 g oral glucose tolerance test (OGTT) at 24-28 weeks only

Answer

HbA1c at booking as sole test

Practice question

A 25-year-old pregnant woman at 10 weeks' gestation attends for antenatal care. She has a BMI of 35 kg/m² and a history of gestational diabetes in her previous pregnancy. According to gestational diabetes guidelines, what is the most appropriate screening strategy in this pregnancy?