Question

A 23-year-old G1P0 at 26 weeks' gestation with no risk factors attends routine antenatal care. She has not yet had screening for gestational diabetes. According to Canadian guidance, what is the recommended approach for gestational diabetes screening in average-risk women?

Accepted Answer

Perform a 50 g 1-hour glucose challenge test, followed by a diagnostic 75 g oral glucose tolerance test if abnormal

Answer

No screening unless symptoms of hyperglycaemia develop

Answer

Random plasma glucose at every visit and no oral glucose testing

Answer

Perform a 75 g 2-hour oral glucose tolerance test without prior screening

Answer

Screen only women with BMI over 30 kg/m²

Practice question

A 23-year-old G1P0 at 26 weeks' gestation with no risk factors attends routine antenatal care. She has not yet had screening for gestational diabetes. According to Canadian guidance, what is the recommended approach for gestational diabetes screening in average-risk women?