Table 2—

Metabolic assessments recommended after GDM

TimeTestPurpose
Post-delivery (1–3 days)Fasting or random plasma glucoseDetect persistent, overt diabetes
Early postpartum (around the time of postpartum visit)75-g 2-h OGTTPostpartum classification of glucose metabolism*
1 year postpartum75-g 2-h OGTTAssess glucose metabolism
AnnuallyFasting plasma glucoseAssess glucose metabolism
Tri-annually75-g 2-h OGTTAssess glucose metabolism
Prepregnancy75-g 2-h OGTTClassify glucose metabolism
  • *

    * Classification of glucose metabolism by criteria recommended by the American Diabetes Association (8). OGTT, oral glucose tolerance test.