MANAGEMENT OF GESTATIONAL DIABETES MELLITUS: AN INSIGHT INTO EVIDENCE-BASED PRACTICE AMONG POSTGRADUATE TRAINEES OF OBSTETRICS AND MEDICINE DISCIPLINES

OBJECTIVE: To explore the discrepancies regarding screening, diagnosis & management of gestational diabetes mellitus (GDM) among postgraduate trainees Obstetrics Gynaecology (OBG) and Medicine disciplines. METHODS: This multicentre cross-sectional study was conducted from 1st to 31st August 2022. The questionnaire diagnosis, GDM, postnatal follow-up with neonatal care were distributed medicine/OBG through google-form/hardcopies. Data analysed SPSS-22 RESULTS: Out 236 trainees, 184 (78%) following national institute clinical excellence (NICE) guidelines for GDM. Majority medicine (n=87/120 (72.5%) OBG (n=76/116; 65.5%) failed identify correct cut-off oral glucose tolerance test A big chunk both (n=93/116; 80.2%) (n=96/120; 80%) unable differentiate pre-existing knowledge about carbohydrate diet (n=119/236; 50.4%), calories intake (103/236; 43.6%) low glycaemic index (138/236; 58.5%) poor specialities. Surprisingly, trainee’s insulin types, dose tocolytic agent not evidence-based. practicing specialities identification hypoglycemia (n=30/236; 12.7%) its (n=47; 19.9%). Trainees had (n=64/236; 27.1%) GDM patients. CONCLUSION: is a common domain disciplines no consensus uniform management. has identified some basic gaps in practice future consultants management, urging need combined local guidelines.