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Management of gestational diabetes

D R Coustan1

  • 1Women & Infants' Hospital of Rhode Island, Providence 02905-2401.

The treatment of gestational diabetes is based on maintaining near-normal maternal glucose levels. To accomplish this goal, dietary counseling is used. circulating glucose is measured regularly, and exogenous insulin is sometimes necessary. Early delivery is not routine. Cesarean section is reserved for obstetric indications, but the presence of fetal macrosomia may be responsible for increasing the overall cesarean section rate in individuals with this disorder. The most important component of the treatment of gestational diabetes is probably the identification of the individual with this condition.

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