gynecology and obstetrics
Diabetes Mellitus in Pregnancy
Diagnosis of Diabetes Mellitus in Pregnancy
Oral glucose tolerance test (OGTT) or a single plasma glucose measurement (fasting or random) The American College of Obstetricians and Gynecologists (ACOG) recommends that all pregnant women be Laboratory testing , typically at 24 to 28 weeks gestation ( The recommended screening method has 2 steps. The first is a screening test with a 50-g oral glucose load and a single measurement of the glucose level at 1 hour. If the 1-hour glucose level is > 130 to 140 mg/dL (> 7.2 to 7.8 mmol/L), a second, confirmatory 3-hour test is done using a 100-g glucose load (see table). Most organizations outside the United States recommend a single-step, 2-hour test. 1.ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus.Obstet Gynecol131(2):e49-e64, 2018. doi:10.1097/AOG.0000000000002501 