Question

A 27-year-old pregnant woman at 26 weeks' gestation with no risk factors for gestational diabetes presents for routine antenatal care. Which screening strategy for gestational diabetes mellitus (GDM) is most consistent with Canadian (SOGC/Diabetes Canada) recommendations?

Accepted Answer

A 50 g 1-hour glucose challenge test at 24-28 weeks followed, if abnormal, by a diagnostic 75 g or 100 g oral glucose tolerance test

Answer

Fasting plasma glucose at the first prenatal visit only

Answer

A 75 g oral glucose tolerance test without prior screening at 26-28 weeks

Answer

No screening is required in low-risk pregnancies

Answer

HbA1c at 24-28 weeks as the sole screening test

Practice question

A 27-year-old pregnant woman at 26 weeks' gestation with no risk factors for gestational diabetes presents for routine antenatal care. Which screening strategy for gestational diabetes mellitus (GDM) is most consistent with Canadian (SOGC/Diabetes Canada) recommendations?