Rec­om­men­da­tions

2.14 Test for undi­ag­nosed di­a­betes at the first pre­na­tal visit in those with risk fac­tors using stan­dard di­ag­nos­tic cri­te­ria. B

2.15 Test for ges­ta­tional di­a­betes mel­li­tus at 24–28 weeks of ges­ta­tion in preg­nant women not pre­vi­ous­ly known to have di­a­betes. A

2.16 Test women with ges­ta­tional di­a­betes mel­li­tus for predi­a­betes or di­a­betes at 4–12 weeks post­par­tum, using the 75-g oral glu­cose tol­er­ance test and clin­i­cally ap­pro­pri­ate nonpreg­nan­cy di­ag­nos­tic cri­te­ria. B

2.17 Women with a his­to­ry of ges­ta­tional di­a­betes mel­li­tus should have life­long screen­ing for the de­vel­op­ment of di­a­betes or predi­a­betes at least every 3 years. B

2.18 Women with a his­to­ry of ges­ta­tional di­a­betes mel­li­tus found to have predi­a­betes should re­ceive in­ten­sive lifestyle in­ter­ven­tions or met­formin to pre­vent di­a­betes. A