Screening for gestational diabetes using risk factors

Screening for gestational diabetes using risk factors is recommended in a healthy population.
At the visit, the following risk factors for gestational diabetes should be determined:
• Body mass index above 30 kg/m 2
• Previous macrosomic baby weighing 4.5 kg or above
• Previous gestational diabetes • Family history of diabetes (firstdegree relative with diabetes)
• Family origin with a high prevalence of diabetes: South Asian (specifi cally women whose country of family origin is India, Pakistan or Bangladesh), black, Caribbean and Middle Eastern (specifi cally women whose country of family ori-gin is Saudi Arabia, United Arab Emirates, Iraq, Jordan, Syria, Oman, Qatar, Kuwait, Lebanon or Egypt)

Women with any one of these risk factors should be offered testing for gestational diabetes. If she has type 2 diabetes, she will be treated as pregestational diabetes and does not need any screening for GDM.