USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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Diagnosis. The 3-h OGTT is performed on all patients who have an abnormal
screening test. Definitive diagnosis is based on an abnormal 3-h 100-g OGTT
performed after an overnight fast. Four glucose values are obtained.


and no  further OGTT    testing is  needed.

Normal  pregnant    values  are FBS <95 mg/dL,  1   h   <180    mg/dL,  2   h   <155
mg/dL, 3 h <140 mg/dL. If only one value is abnormal, impaired glucose
tolerance is diagnosed. If ≥2 values are abnormal, GDM is diagnosed.
If FBS ≥125, overt diabetes is diagnosed and the 100-g glucose load should
not be given.
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