Question

A 24-year-old G1P0 woman at 26 weeks' gestation with an uncomplicated singleton pregnancy attends antenatal clinic. According to current Canadian recommendations, which is the most appropriate approach to screening for gestational diabetes in average-risk women?

Accepted Answer

Screen with a 50 g glucose challenge test; if abnormal, follow with a 75 g oral glucose tolerance test

Answer

No routine screening is required in low-risk pregnancies

Answer

Perform fasting plasma glucose only at the first prenatal visit

Answer

Perform an HbA1c at 24-28 weeks as the sole screening test

Answer

Screen with a 100 g, 3-hour oral glucose tolerance test only if macrosomia is suspected on ultrasound

Practice question

A 24-year-old G1P0 woman at 26 weeks' gestation with an uncomplicated singleton pregnancy attends antenatal clinic. According to current Canadian recommendations, which is the most appropriate approach to screening for gestational diabetes in average-risk women?