Screening practices for gestational diabetes mellitus in UK obstetric units

@article{Mires1999ScreeningPF,
  title={Screening practices for gestational diabetes mellitus in UK obstetric units},
  author={Gary J Mires and Fred Laurence Williams and V. Harper},
  journal={Diabetic Medicine},
  year={1999},
  volume={16}
}
Aim To identify current screening practices for gestational diabetes mellitus (GDM) in all maternity units. 
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A review looks at the presentation, risks and management of gestational diabetes including recent guidelines including current guidelines. Expand
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Prevalence of gestational diabetes mellitus in terms of impaired glucose tolerance andabetes mellitus and the value of traditional anamnestic risk factors for predicting outcome of the oral glucose tolerance test (OGTT) are determined. Expand
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TLDR
Issues of concern are explored in this article with the aim of encouraging midwives to take a more critical approach to analysing the routine care offered to pregnant women. Expand
Screening and management of gestational diabetes mellitus in Scottish obstetric units: a national survey
TLDR
There are still inconsistencies in screening and management of GDM in Scotland despite provision of clinical guidelines, and there will be major implications for health care provision and resource allocation if a similar increase in the prevalence is experienced across Scotland. Expand
Management of gestational diabetes by physicians in Turkey.
TLDR
There is considerable variation in the clinical practice patterns of physicians in Turkey in screening for gestational diabetes mellitus, management and monitoring of hyperglycaemia in pregnant women with GDM, and assessment of glucose tolerance in the postpartum state. Expand
PMM.34 Screening and Management of Gestational Diabetes Mellitus in Scottish Units: A National Survey
TLDR
There are still inconsistencies in screening and management practices for gestational diabetes mellitus across Scotland, and a significant increase in the percentage of women being diagnosed with GDM was revealed. Expand
Screening for gestational diabetes mellitus.
  • M. Maresh
  • Medicine
  • Seminars in fetal & neonatal medicine
  • 2005
TLDR
The glucose challenge and fasting glucose tests are the leading contenders as appropriate screening tests to determine who should have the diagnostic glucose tolerance test, but until this is reviewed, the widely used scheme of risk factors as a screening method should continue, as it detects at least 50% of women with gestational diabetes. Expand
Gestational Diabetes Mellitus
TLDR
The causes, pathophysiology, complications, risks, diagnosis, management, prevention, prevention etc. of GDM are reviewed. Expand
Maternal diabetes and neonatal outcome.
TLDR
Although the goals of the St Vincent declaration are attainable; in a practical setting (even in excellent centres) the authors fall far short of achieving perinatal mortality and fetal anomaly rates equivalent to the non-diabetic pregnant population. Expand
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Clinical history, including previous abnormal pregnancy history, birth of a large baby, maternal obesity, and family history of diabetes, is demonstrated to be an insensitive screening factor in theExpand
Do We Know How to Screen for Gestational Diabetes? Current Practice in One Regional Health Authority
TLDR
There is no consensus concerning screening and diagnosis of GDM in the NE Thames region, which may reflect uncertainty about the value of screening for this condition. Expand
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Follow-up Studies in Women with Gestational Diabetes mellitus. The Experience at Los Angeles Country/ University of Southern California Medical Center
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Random urine glucose screening values from each prenatal visit were compared with a serum glucose test done at 28 weeks' gestation after ingestion of a 50 gm glucose-containing beverage, and glycosuria, although increased in women with gestational diabetes, occurred in only 18% of cases. Expand
Screening for glycosuria during pregnancy.
TLDR
Random urine glucose screening values from each prenatal visit were compared with a serum glucose test done at 28 weeks' gestation after ingestion of a 50 gm glucose-containing beverage, and glycosuria, although increased in women with gestational diabetes, occurred in only 18% of cases. Expand
Gestational Diabetes Mellitus: Correlations Between the Phenotypic and Genotypic Characteristics of the Mother and Abnormal Glucose Tolerance During the First Year Postpartum
TLDR
There is a compelling case for careful, early, and continuing follow-up of all women with a diagnosis of GDM, and the risks of abnormal glucose tolerance in the first year postpartum appear to be correlated with some of the heterogeneous characteristics of women with GDM. Expand
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