A 32-year-old woman at 10 weeks' gestation with a BMI of 32 kg/m² and a first-degree relative with type 2 diabetes attends antenatal clinic. She had n...

Question

A 32-year-old woman at 10 weeks' gestation with a BMI of 32 kg/m² and a first-degree relative with type 2 diabetes attends antenatal clinic. She had normal glucose in a previous pregnancy. According to Diabetes Canada and SOGC recommendations, how should she be screened for gestational diabetes in this pregnancy?

Accepted Answer

Universal screening with a 50 g glucose challenge test at 24-28 weeks, followed by diagnostic OGTT if abnormal

Answer

No screening because she is under 35 years and previously had normal glucose

Answer

Random capillary glucose at the first antenatal visit only

Answer

Routine fasting glucose at every antenatal visit without OGTT

Answer

Screen only if she develops glycosuria later in pregnancy

ca-mccqe1 MCQ (SBA): Gestational diabetes screening