Question

A 26-year-old primigravida at 28 weeks' gestation has a 50 g 1-hour glucose challenge result of 10.1 mmol/L. According to Canadian practice for gestational diabetes screening, what is the next best step?

Accepted Answer

Order a 75 g 2-hour OGTT for diagnostic confirmation

Answer

Reassure; this is normal

Answer

Start insulin immediately without further testing

Answer

Repeat the 50 g challenge in 4 weeks

Answer

Order HbA1c only

Practice question

A 26-year-old primigravida at 28 weeks' gestation has a 50 g 1-hour glucose challenge result of 10.1 mmol/L. According to Canadian practice for gestational diabetes screening, what is the next best step?