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. 2017 Jul 16;114(24):412–418. doi: 10.3238/arztebl.2017.0412

Table. Screening steps and cutoff values of the two-step test for GDM.

Testing Cutoff value Consequence
Dose Timing of test mmol/L mg/dL
Pre-test (GCT)
50 g after 1 hour ≥ 7.5 and ≤ 11.1* ≥ 135 and ≤ 200* prompt application of the diagnostic test
Diagnostic test (oGTT)
directly fasting ≥ 5.1 ≥ 92 upon reaching or exceeding one of the 3 cutoff values: GDM diagnosis
75 g after 1 hour ≥ 10.0 ≥ 180
after 2 hours ≥ 8.5 ≥ 153

GCT, glucose challenge test; GDM, gestational diabetes mellitus; oGTT, oral glucose tolerance test

*If these cutoffs are exceeded, manifest diabetes must be ruled out or confirmed