Question

A 28-year-old pregnant woman at 26 weeks' gestation with no prior history of diabetes attends antenatal clinic. According to Canadian guidance on diabetes in pregnancy, what is the recommended screening strategy for gestational diabetes in average-risk women?

Accepted Answer

A 50 g glucose challenge test followed, if abnormal, by a 75 g oral glucose tolerance test

Answer

Random capillary glucose at each visit without formal screening

Answer

No screening is required unless she has risk factors such as obesity or family history

Answer

Screen with HbA1c at 28 weeks instead of an oral glucose tolerance test

Answer

Use urine glucose at each visit as the primary screening tool

Practice question

A 28-year-old pregnant woman at 26 weeks' gestation with no prior history of diabetes attends antenatal clinic. According to Canadian guidance on diabetes in pregnancy, what is the recommended screening strategy for gestational diabetes in average-risk women?