A 28-year-old primigravida at 26 weeks' gestation with a BMI of 33 kg/m² has had normal antenatal care so far. According to Canadian practice, what is...

Question

A 28-year-old primigravida at 26 weeks' gestation with a BMI of 33 kg/m² has had normal antenatal care so far. According to Canadian practice, what is the most appropriate strategy for screening for gestational diabetes?

Accepted Answer

50 g 1-hour glucose challenge test followed, if abnormal, by a 75 g or 100 g oral glucose tolerance test

Answer

No screening is needed until 36 weeks' gestation

Answer

Random plasma glucose in the third trimester only

Answer

Fasting capillary glucose daily for one week

Answer

HbA1c measurement alone at 28 weeks

ca-mccqe1 MCQ (SBA): Gestational diabetes mellitus

A 28-year-old primigravida at 26 weeks' gestation with a BMI of 33 kg/m² has had normal antenatal care so far. According to Canadian practice, what is the most appropriate strategy for screening for gestational diabetes?