Question

A 28-year-old pregnant woman at 26 weeks gestation with no risk factors presents for routine antenatal care. Her BMI is 27 kg per m2, and she has no previous history of gestational diabetes. According to Canadian guidelines, which screening strategy for gestational diabetes is most appropriate?

Accepted Answer

Universal 2-step screening with a 50 g glucose challenge test followed, if abnormal, by a 75 g oral glucose tolerance test

Answer

No screening is necessary in low-risk women

Answer

Random plasma glucose at every visit without formal screening

Answer

Screen only women with BMI greater than 30 kg per m2

Answer

Fasting plasma glucose alone at 36 weeks gestation

Practice question

A 28-year-old pregnant woman at 26 weeks gestation with no risk factors presents for routine antenatal care. Her BMI is 27 kg per m2, and she has no previous history of gestational diabetes. According to Canadian guidelines, which screening strategy for gestational diabetes is most appropriate?