A 29-year-old woman with no significant past medical history is 26 weeks pregnant with a singleton pregnancy. Her first trimester screening was normal...

Question

A 29-year-old woman with no significant past medical history is 26 weeks pregnant with a singleton pregnancy. Her first trimester screening was normal. According to Canadian guidelines, what is the recommended approach to screening for gestational diabetes mellitus (GDM) in an average-risk pregnant woman?

Accepted Answer

Perform a 50 g 1-hour glucose challenge test followed, if abnormal, by a 75 g oral glucose tolerance test between 24 and 28 weeks' gestation

Answer

No screening is required unless she develops symptoms

Answer

Perform a fasting plasma glucose only at 24 weeks' gestation

Answer

Perform an HbA1c at booking and again at 28 weeks' gestation

Answer

Perform universal 75 g oral glucose tolerance tests in the first trimester only

ca-mccqe1 MCQ (SBA): Gestational diabetes screening