A 26-year-old woman at 22 weeks of gestation attends the GP surgery for a routine appointment. She is found to have glycosuria (2+ glucose) on urine d...

Question

A 26-year-old woman at 22 weeks of gestation attends the GP surgery for a routine appointment. She is found to have glycosuria (2+ glucose) on urine dipstick. Her fasting glucose at booking was 4.8 mmol/L. She has no risk factors for gestational diabetes. Which is the single most appropriate action?

Accepted Answer

Reassure that glycosuria is common in pregnancy due to lowered renal threshold and repeat at next visit

Answer

Diagnose gestational diabetes based on the glycosuria

Answer

Arrange a 75 g oral glucose tolerance test

Answer

Commence dietary modification immediately

Answer

Request HbA1c urgently

uk-drcog MCQ (SBA): Glycosuria in Pregnancy