A 31-year-old woman attends the GP at her 6-week postnatal check. She had gestational diabetes managed with metformin during pregnancy. Metformin was ...

Question

A 31-year-old woman attends the GP at her 6-week postnatal check. She had gestational diabetes managed with metformin during pregnancy. Metformin was stopped after delivery. She is breastfeeding. She asks about follow-up. According to NICE NG3, which is the single most appropriate postnatal glucose screening test?

Accepted Answer

Fasting plasma glucose at 6-13 weeks postpartum to exclude type 2 diabetes

Answer

No further testing is needed as gestational diabetes resolves after delivery

Answer

75 g OGTT at 6 weeks postpartum

Answer

HbA1c at 6 weeks postpartum

Answer

Random blood glucose at any time

uk-drcog MCQ (SBA): Postnatal GDM Screening