Gestational Diabetes: One-Step or Two-Step Screening
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| | A 55-year-old female with type 2 diabetes (T2D) and chronic kidney disease (CKD) presented to the ambulatory care clinic. Her T2D was previously managed with metformin plus an SGLT2 inhibitor, but the SGLT2 inhibitor was discontinued recently due to recurring yeast infections. Her primary care provider (PCP) referred her to pharmacy for a diabetes consult and evaluation for alternative agents (following discontinuation of the SGLT2 inhibitor) to slow progression of her CKD. |
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There are two acceptable options: one-step screening and two-step screening, but there is no specific way to diagnose gestational diabetes. For these reasons, clinicians are studying and comparing the two screening approaches available. |
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