Diabetic Case: 36-year-old Primigravid Woman for Antenatal Care

00:00 Let's go on to another case. Here we have a 36-year-old primigravid woman who presents to obstetrician for antenatal care. She is a 24 weeks gestation and does not have any complaints except for occasional leg cramps. She does not smoke or drink alcohol. Her family history is unremarkable.

00:21 Her temperature is 36.9°C, her blood pressure is 100/60, and her pulse rate 95 beats/minute. Her BMI is 21 kg/m2. On physical examination, we find a palpable uterus above the umbilicus with no other clinical abnormalities. What screening test indicated during this clinic visit? What we see here is a pregnant patient attending her first prenatal visit. She has no personal or family history of diabetes mellitus. She has just started her 2nd trimester of pregnancy as evidenced by the palpable uterus above the umbilicus. She also has normal weight and the screening test that will be most appropriate at this point to assess for gestational diabetes is to check an oral glucose tolerance test.