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What are the diagnostic thresholds for gestational diabetes mellitus using a 75g 2-hour oral glucose tolerance test?

For a 75g 2-hour oral glucose tolerance test, gestational diabetes mellitus is diagnosed if fasting plasma glucose is 5.6 mmol/L or above, or if the 2-hour plasma glucose is 7.8 mmol/L or above.

The diagnostic criteria use two threshold values from the OGTT. A fasting plasma glucose level of 5.6 mmol/L or higher meets the diagnosis. Alternatively, a 2-hour plasma glucose level of 7.8 mmol/L or higher also meets the diagnosis. Either one of these values is sufficient to diagnose gestational diabetes.

Key points

  • Fasting plasma glucose threshold: 5.6 mmol/L or above.
  • 2-hour plasma glucose threshold: 7.8 mmol/L or above.
  • Either value alone is sufficient for the diagnosis.
Source:Oxford Handbook of Diabetes Nursing· Other important areas of diabetes care· p. 261–263

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