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Table 2—

Metabolic assessments recommended after GDM

TimeTestPurpose
Post-delivery (1–3 days) Fasting or random plasma glucose Detect persistent, overt diabetes 
Early postpartum (around the time of postpartum visit) 75-g 2-h OGTT Postpartum classification of glucose metabolism* 
1 year postpartum 75-g 2-h OGTT Assess glucose metabolism 
Annually Fasting plasma glucose Assess glucose metabolism 
Tri-annually 75-g 2-h OGTT Assess glucose metabolism 
Prepregnancy 75-g 2-h OGTT Classify glucose metabolism 
TimeTestPurpose
Post-delivery (1–3 days) Fasting or random plasma glucose Detect persistent, overt diabetes 
Early postpartum (around the time of postpartum visit) 75-g 2-h OGTT Postpartum classification of glucose metabolism* 
1 year postpartum 75-g 2-h OGTT Assess glucose metabolism 
Annually Fasting plasma glucose Assess glucose metabolism 
Tri-annually 75-g 2-h OGTT Assess glucose metabolism 
Prepregnancy 75-g 2-h OGTT Classify glucose metabolism 
*

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

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