High risk factors for GDM
  
Severe obesity  
Previous GDM or previous macrosomic baby  
Persistent glycosuria  
PCOS  
Significant family history of type 2 diabetes  
Low risk factors for GDM
  
Maternal age <25  
Normal weight before pregnancy  
Member of an ethnic group with a low risk of gestational diabetes  
No family history of diabetes  
No personal history of glucose intolerance  
 
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BMI > 25 kg/m2  
Previous history of GDM  
Family history of diabetes (1st degree relative)  
Previous macrosomic child >9 lb (4 kg)  
No physical activity  
Hypertension  
HDLc < 35 mg/dL (0.90 mmol/L) and/or triglyceride > 250 mg/dL (2.82 mmol/L)  
PCOS  
HbA1c ≥ 5.7% and previous IGT or IFG  
Signs of insulin resistance such as acanthosis nigricans  
History of cardiovascular disease  
Ethnic backgrounds: African American, Latino, Native American, Asian American, Pacific Islander  
 
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ADIPS [13]
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NICE and SIGN [18,19]
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Moderate risk factors for GDM
  
BMI 25–35 kg/m2  
Ethnic backgrounds: Asian, Indian, aboriginal, Torres Strait Islander, Pacific Islander, Maori, Middle Eastern and non-white African  
High risk factors for GDM
  
BMI > 35 kg/m2  
Age ≥ 40 years  
Previous history of GDM  
Family history of diabetes  
History of high blood glucose  
History of macrosomic child ≥ 4.5 kg  
PCOS  
Medication: Corticosteroids, antipsychotics  
 
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BMI > 30 kg/m2  
Previous GDM  
Family history of diabetes (first-degree family member)  
Previous macrosomic baby ≥ 4.5 kg  
Ethnic backgrounds South Asian (India, Pakistan or Bangladesh), Black Caribbean, Middle Eastern (Saudi Arabia, United Arab Emirates, Iraq, Jordan, Syria, Oman, Qatar, Kuwait, Lebanon or Egypt)  
 
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CNGOF and SFD [20,21]
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Canadian Diabetes Association [22]
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FIGO [11]
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Age > 35 years  
High-risk ethnic origin: South Asian, African, Arab, Hispanic  
Corticosteroid medication  
BMI > 30 kg/m2  
GDM in previous pregnancy  
Previous macrosomic baby ≥ 4.0 kg  
First-degree family history of diabetes  
PCOS or acanthosis nigricans  
 
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Older age, higher parity, ethnicity  
Obesity or excessive weight gain during current pregnancy  
History of GDM or macrosomia  
Family history of diabetes  
Previous poor pregnancy outcome  
Multiple pregnancy  
 
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