Question

A 28-year-old pregnant woman at 26 weeks' gestation with no prior history of diabetes attends antenatal clinic. According to Canadian guidance, what is the preferred initial screening strategy for gestational diabetes mellitus in average-risk pregnancies?

Accepted Answer

Universal 50 g glucose challenge test followed by diagnostic 75 g OGTT if abnormal

Answer

Fasting plasma glucose only at the first prenatal visit

Answer

Universal 75 g OGTT without prior screening

Answer

Random plasma glucose at each visit

Answer

No screening is required unless risk factors are present

Practice question

A 28-year-old pregnant woman at 26 weeks' gestation with no prior history of diabetes attends antenatal clinic. According to Canadian guidance, what is the preferred initial screening strategy for gestational diabetes mellitus in average-risk pregnancies?