Question

A 33-year-old pregnant First Nations woman at 12 weeks' gestation presents for antenatal care in a remote community. She has BMI 35 kg/m² and a strong family history of type 2 diabetes. According to Diabetes Canada, what is the MOST appropriate screening strategy for gestational diabetes?

Accepted Answer

Early screening for overt diabetes with fasting plasma glucose or HbA1c now, then routine 75 g OGTT at 24-28 weeks if negative

Answer

No screening until 28 weeks

Answer

Early screening now with 50 g glucose challenge only

Answer

Screen only postpartum

Answer

Use urine glucose dipsticks only

Practice question

A 33-year-old pregnant First Nations woman at 12 weeks' gestation presents for antenatal care in a remote community. She has BMI 35 kg/m² and a strong family history of type 2 diabetes. According to Diabetes Canada, what is the MOST appropriate screening strategy for gestational diabetes?