Screening and Diagnosis of Gestational Diabetes Mellitus

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Screening and Diagnosis of Gestational Diabetes Mellitus

American Diabetes Association defines gestational diabetes mellitus (GDM) as diabetes which is diagnosed in the 2nd or 3rd trimester of pregnancy and is not clearly overt diabetes. GDM, if missed or not treated properly can result in maternal and foetal complications, short as well as long term. Screening for overt diabetes, especially for high risk women should be done at the earliest in pregn...

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Screening, diagnosis, and management of gestational diabetes mellitus.

Gestational diabetes mellitus (GDM) affects approximately 6% of pregnancies in the United States, and it is increasing in prevalence. Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically significant decrease in the incidence of preeclampsia, shoulder dystocia, and macrosomia. Initial management include...

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Glycosylated haemoglobin for screening and diagnosis of gestational diabetes mellitus.

OBJECTIVES The oral glucose tolerance test (OGTT) is a cumbersome test that is time consuming, labour intensive and often poorly tolerated by pregnant women. To date, glycosylated haemoglobin (HbA1c) is the most accepted measure of chronic glycaemia outside of pregnancy. HbA1c is an uncomplicated test, less time consuming, does not require any specific patient preparation and is considered stra...

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Diagnosis of Gestational Diabetes Mellitus

Despite recent attempts at building consensus, an internationally consistent definition of gestational diabetes mellitus remains elusive. Within and between countries there is disagreement between obstetric, medical and endocrine groups as to the diagnosis and management of GDM. The current article aims to discuss the background to the controversy of GDM diagnosis and to address issues related ...

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Early screening of gestational diabetes mellitus using maternal hemoglobin A1C: Revision of current screening guidelines

Background: HbA1C has been a known predictor and diagnostic test for diabetes type 2. However, this test has not yet been widely studied in GDM and more importantly no cutoff point has been defined for HbA1C in GDM. We investigated the efficacy of screening during first and second trimester of pregnancy and defined appropriate cutoff points according to HbA1C and FBS for predicting maternal GDM...

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ژورنال

عنوان ژورنال: Current Research in Diabetes & Obesity Journal

سال: 2017

ISSN: 2476-1435

DOI: 10.19080/crdoj.2017.04.555646