Question

A 29-year-old primigravida at 26 weeks gestation has a 50 g oral glucose challenge with a 1-hour plasma glucose of 9.6 mmol/L. Which is the most appropriate next step according to Canadian gestational diabetes screening recommendations?

Accepted Answer

Perform a 75 g oral glucose tolerance test

Answer

Reassure as the result is normal

Answer

Repeat the 50 g challenge in 4 weeks

Answer

Start insulin therapy immediately

Answer

Start metformin without further testing

Practice question

A 29-year-old primigravida at 26 weeks gestation has a 50 g oral glucose challenge with a 1-hour plasma glucose of 9.6 mmol/L. Which is the most appropriate next step according to Canadian gestational diabetes screening recommendations?