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Polycystic ovary syndrome - Management
When should I screen for glucose intolerance?
- Screen women with polycystic ovary syndrome (PCOS) annually for impaired glucose tolerance and Type 2 diabetes mellitus.
- Offer an initial oral glucose tolerance test to all women presenting with PCOS.
- In women who have impaired glucose tolerance, offer an annual oral glucose tolerance test thereafter.
- Also consider offering an annual glucose tolerance test to women at particular risk of Type 2 diabetes because they have:
- A strong family history of diabetes.
- A body mass index greater than 30 kg/m2 (or 25 kg/m2 in Asian women).
- A history of gestational diabetes.
- In all women not offered an annual glucose tolerance test, measure fasting glucose annually.
- If the fasting glucose level is 5.6 mmol/L or greater, perform an oral glucose tolerance test.
- For information on how to treat Type 2 diabetes, see the CKS topic on Diabetes type 2.
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