Question

A 30-year-old pregnant woman at 26 weeks' gestation with no prior history of diabetes undergoes a 50 g glucose challenge test (non-fasting). Her 1-hour plasma glucose is 8.5 mmol/L. According to Diabetes Canada preferred screening strategy, what is the most appropriate next step?

Accepted Answer

Order a 75 g oral glucose tolerance test

Answer

Reassure; no further testing is required

Answer

Diagnose gestational diabetes mellitus and start insulin

Answer

Repeat the 50 g test in 4 weeks

Answer

Check fasting glucose only

Practice question

A 30-year-old pregnant woman at 26 weeks' gestation with no prior history of diabetes undergoes a 50 g glucose challenge test (non-fasting). Her 1-hour plasma glucose is 8.5 mmol/L. According to Diabetes Canada preferred screening strategy, what is the most appropriate next step?