Management of Diabetes Mellitus by Obstetrician–Gynecologists

@article{Gabbe2004ManagementOD,
  title={Management of Diabetes Mellitus by Obstetrician–Gynecologists},
  author={Steven G. Gabbe and Rebecca Pratt Gregory and Michael L. Power and Sterling B. Williams and Jay Schulkin},
  journal={Obstetrics \& Gynecology},
  year={2004},
  volume={103},
  pages={1229-1234}
}
OBJECTIVE: To compare practice patterns of the American College of Obstetrician and Gynecologists (ACOG) Fellows for the diagnosis and treatment of gestational diabetes mellitus (GDM) and type 1 diabetes mellitus with current ACOG recommendations and prior published series. METHODS: We sent a questionnaire to 1,398 practicing ACOG Fellows and Junior Fellows, 398 of whom comprise the Collaborative Ambulatory Research Network. Responses were evaluated by age and sex to assess differences in… Expand
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TLDR
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References

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Management of Diabetes by Obstetrician‐Gynecologists
TLDR
Obetrician-gynecologists are aware of the need to screen for GDM and the importance of postpartum follow-up in GDM patients to detect type-2 diabetes mellitus and are willing to prescribe oral contraceptives to women diagnosed previously with GDM. Expand
Management of diabetes mellitus and pregnancy: A survey of obstetricians and maternal‐fetal specialists
TLDR
Significant discrepancies appear to exist between ACOGb versus ACOGa and SPO with regard to methods of glucose surveillance and the threshold for initiating insulin therapy in gestational diabetes. Expand
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TLDR
The goal of the educational programs should be not only to improve pregnancy outcome but also to promote healthy lifestyle changes for the mother that will last long after delivery. Expand
Key Components of Care for Women With Gestational Diabetes
TLDR
These guidelines seek to define the level and nature of MNT that has been shown to promote normoglycemia, provide optimum nutrition, and reduce complications in GDM. Expand
Prevalence of gestational diabetes mellitus detected by the national diabetes data group or the carpenter and coustan plasma glucose thresholds.
TLDR
The prevalence of GDM increased, on average, by 50% with use of the Carpenter and Coustan thresholds, and relative increments were greater in low-risk age and ethnic groups. Expand
A comparison of glyburide and insulin in women with gestational diabetes mellitus.
TLDR
Glyburide is a clinically effective alternative to insulin therapy in women with gestational diabetes mellitus and is not detected in the cord serum of any infant in the glyburide group. Expand
Point: yes, it is necessary to rely entirely on glycemic values for the insulin treatment of all gestational diabetic women.
TLDR
Until there is a proven test to identify the pregnancies at risk for untoward outcome, then all women with gestational diabetes mellitus (GDM) need to perform self-blood glucose monitoring to guide the treatment decisions about insulin therapy. Expand
Criteria for screening tests for gestational diabetes.
TLDR
Test results suggest that thresholds for further testing be lowered from 143 to 135 mg/dl of plasma glucose, where further testing is required. Expand
Counterpoint: glucose monitoring in gestational diabetes: lots of heat, not much light.
TLDR
Whether there really are optimal times to measure glucose levels in women with GDM, and whether all patients really need to perform glucose self-monitoring, are addressed. Expand
Report of the expert committee on the diagnosis and classification of diabetes mellitus.
TLDR
It was deemed essential to develop an appropriate, uniform terminology and a functional, working classification of diabetes that reflects the current knowledge about the disease. Expand
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