Question

A 26-year-old primigravida at 26 weeks' gestation with no prior history of diabetes attends routine antenatal care. According to Diabetes Canada and SOGC guidance, which screening approach for gestational diabetes mellitus (GDM) is recommended in most Canadian centres?

Accepted Answer

Two-step approach with initial 50 g glucose challenge test followed, if abnormal, by a 75 g oral glucose tolerance test

Answer

Fasting plasma glucose only at the first prenatal visit

Answer

Random plasma glucose only at 28 weeks

Answer

Universal 75 g oral glucose tolerance test at 10 weeks' gestation

Answer

No screening for gestational diabetes in low-risk women

Practice question

A 26-year-old primigravida at 26 weeks' gestation with no prior history of diabetes attends routine antenatal care. According to Diabetes Canada and SOGC guidance, which screening approach for gestational diabetes mellitus (GDM) is recommended in most Canadian centres?