Table 2—

Metabolic assessments recommended after GDM

TimeTestPurpose
After delivery (1–3 days)Fasting or random plasma glucoseDetect persistent, overt diabetes
Early postpartum (around the time of postpartum visit)75 gm 2-hr OGTT1Postpartum classification of glucose metabolism*
1 year postpartum75 gm 2-hr OGTT1Assess glucose metabolism
AnnuallyFasting plasma glucoseAssess glucose metabolism
Tri-annually75 gm 2-hr OGTT1Assess glucose metabolism
Prepregnancy75 gm 2-hr OGTT1Classify glucose metabolism*
  • Reproduced from the Summary and Recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitur (25). OGTT, oral glucose tolerance test.

  • *

    * Classification of glucose metabolism by criteria recommended by the American Diabetes Association (19).