# Retest GDM Late 3rd Tri for LGA or Poly? (OCT 2026 Data) Page: https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data Text version: https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data.md Podcast: [Dr. Chapa's OBGYN No Spin Podcast](https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953) Published: 2026-09-20T11:00:00+00:00 Episode link: https://rss.com/podcasts/dr-chapa-s-obgyn-no-spin-podcast/3166891 Audio file: https://content.rss.com/episodes/337911/3166891/dr-chapa-s-obgyn-no-spin-podcast/2026_09_19_21_05_36_ac0b4f2e-8296-4e11-ba7c-70a8229efc4d.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/dr-chapa-s-obgyn-no-spin-podcast-7407953/episodes/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data Duration seconds: 1691 ## Resource Picture this common, late-gestation conundrum: You’re reviewing a 34-week sono. The mid-pregnancy 24-to-28-week glucose screen was completely normal. But now, the sonogram pops up with an estimated fetal weight of over 90%, or maybe a MVP (or AFI) that’s overtly elevated. The classic clinical dilemma hits: Do you order a repeat OGTT this late in the game? Is it actually worth poking the patient again, or are you just chasing shadows? Well, we now have new meta-analytic data. Today, we are reviewing fresh, high-yield data hot off the press from the American Journal of Obstetrics & Gynecology (OCT 2026). We’re breaking down this systematic review evaluating late-onset GDM- looking at precisely who may yield a positive diagnosis on a repeat third-trimester test, why LGA and polyhydramnios are not created equal when deciding to re-screen, and what these late numbers mean for neonatal hypoglycemia and cesarean delivery rates. AND, although these insights are helpful- some questions remain. Let’s jump in! 1. Dominsky O, Berkovitz-Shperling R, Rosenberg-Fridman M .Late-onset diagnosis of gestational diabetes after normal mid-pregnancy screening in women with large for gestational age or polyhydramnios: a systematic review and meta-analysis. American Journal of Obstetrics & Gynecology, 2026; 235, 789-799 ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/dr-chapa-s-obgyn-no-spin-podcast-7407953/episodes/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.