Med Student Medical News about Gestational Diabetes

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Diagnosing Gestational Diabetes
American Family Physician, 07/02/09

Serlin DC et al. - Recent studies show that diagnosis and management of this disorder have beneficial effects on maternal and neonatal outcomes, including reduced rates of shoulder dystocia, fractures, nerve palsies, and neonatal hypoglycemia. Diagnosis is made using a sequential model of universal screening with a 50-g one-hour glucose challenge test, followed by a diagnostic 100-g three-hour oral glucose tolerance test for women with a positive screening test. Treatment consists of glucose monitoring, dietary modification, exercise, and, when necessary, pharmacotherapy to maintain euglycemia. Insulin therapy is the mainstay of treatment, although glyburide and metformin may become more widely used. In women receiving pharmacotherapy, antenatal testing with nonstress tests and amniotic fluid indices beginning in the third trimester is generally used to monitor fetal well-being. The method and timing of delivery are controversial. Women with gestational diabetes are at high risk of subsequent development of type 2 diabetes. Lifestyle modification should therefore be encouraged, along with regular screening for diabetes.

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Agreement Between Self-Report and Birth Certificate for Gestational Diabetes Mellitus: New York State PRAMS
Maternal and Child Health Journal, 10/27/09 Relevance Score: 69%

Prediction of Diabetes Recurrence in Women with Class A1 (Diet-Treated) Gestational Diabetes
American Journal of Perinatology, 10/06/09 Relevance Score: 68%

Treating gestational diabetes benefits mom, baby
CNN Health, 10/02/09 Relevance Score: 68%

A Multicenter, Randomized Trial of Treatment for Mild Gestational Diabetes
New England Journal of Medicine, 10/01/09 Relevance Score: 68%

Treating mild gestational diabetes found worthwhile
Reuters, 10/01/09 Relevance Score: 67%