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Gestational diabetes — DRCOG MCQ

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HardAntenatal CareGestational diabetesDRCOG

At booking, a woman has BMI 32 kg/m², a first-degree relative with type 2 diabetes and a previous 4.7 kg baby. She has no known diabetes. What is the most appropriate test?

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Correct answer: BArrange a 75g glucose tolerance test at 24–28 weeks

BMI of 30 or above, first-degree family history of diabetes and previous macrosomia are each gestational-diabetes risk factors. NICE recommends a 75 g 2-hour OGTT at 24 to 28 weeks for these women, rather than random glucose or urine testing.

Reference: NICE NG3: Diabetes in pregnancy: https://www.nice.org.uk/guidance/ng3/chapter/Recommendations