Question

A 30-year-old G2P1 woman at 26 weeks gestation with a BMI of 33 kg/m² and a first-degree relative with type 2 diabetes attends antenatal clinic. According to SOGC and Diabetes Canada guidance, what is the most appropriate screening strategy for gestational diabetes in this patient?

Accepted Answer

Perform a 50 g glucose challenge test at 24 to 28 weeks, followed by a diagnostic oral glucose tolerance test if abnormal

Answer

No screening is required because she is younger than 35 years

Answer

Screen only if fasting plasma glucose exceeds 7.0 mmol/L

Answer

Perform a 75 g oral glucose tolerance test at 12 weeks only

Answer

Wait until 36 weeks gestation to screen

Practice question

A 30-year-old G2P1 woman at 26 weeks gestation with a BMI of 33 kg/m² and a first-degree relative with type 2 diabetes attends antenatal clinic. According to SOGC and Diabetes Canada guidance, what is the most appropriate screening strategy for gestational diabetes in this patient?