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