Question

A 27-year-old woman at 26 weeks' gestation with no prior history of diabetes attends for routine antenatal care. According to Diabetes Canada and SOGC recommendations, what is the preferred screening approach for gestational diabetes mellitus (GDM) in most Canadian settings?

Accepted Answer

Two-step approach: non-fasting 50 g glucose challenge test followed, if abnormal, by a 75 g OGTT

Answer

No screening is needed unless she has risk factors

Answer

One-step 75 g fasting oral glucose tolerance test (OGTT) without prior challenge in all women

Answer

Random capillary glucose only

Answer

HbA1c measurement only

Practice question

A 27-year-old woman at 26 weeks' gestation with no prior history of diabetes attends for routine antenatal care. According to Diabetes Canada and SOGC recommendations, what is the preferred screening approach for gestational diabetes mellitus (GDM) in most Canadian settings?