Related Experiment Video
Updated: Jan 24, 2026
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
[Implementation of a clinical guideline for detection of gestational diabetes in primary care]
Rafael Tuesca Molina1, Tania Acosta Vergara1, Brayan Domínguez Lozano2
1Departamento de Salud Pública, Universidad del Norte, Barranquilla, Colombia.
Insights
Adherence to gestational diabetes guidelines in Barranquilla improved early detection. This clinical guide implementation successfully identified pregnant women with gestational diabetes (GD).
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Public Health
Background:
- Gestational diabetes (GD) significantly increases maternal and fetal morbidity risks.
- A World Diabetes Foundation project in Barranquilla, Colombia, aimed to implement a clinical guide for GD diagnosis and treatment starting in 2012.
Purpose of the Study:
- To evaluate the adherence to the implemented clinical guide for gestational diabetes within primary care settings.
- To assess the effectiveness of the guide in detecting cases of gestational diabetes.
Main Methods:
- A cross-sectional study analyzed data from pregnant women screened for gestational diabetes.
- Participants were categorized based on entry into prenatal care: before 24 weeks or after 24 weeks gestation.
- Inclusion criteria involved specific fasting blood glucose levels or positive results on an oral glucose tolerance test.
Main Results:
- Out of 21,699 registries, 9% (1,887 women) were at risk for GD; 1,880 were analyzed.
- Early entry (<24 weeks): 71% had fasting blood glucose tested, 69.2% met GD criteria. Oral glucose tolerance test (OGTT) confirmed GD in 72% of those tested.
- Late entry (≥24 weeks): 68% met GD criteria via fasting blood glucose. OGTT confirmed GD in 80% of those tested.
Conclusions:
- The study indicates that good adherence to clinical guidelines facilitates the early and accurate detection of gestational diabetes.
- Effective implementation of diagnostic and treatment protocols is crucial for managing GD in pregnant populations.
Background:
Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition.
Aim:
To estimate the adherence of the guide in primary care centers.
Material And Methods:
A Cross-sectional study of pregnant women suspected of having gestational diabetes. Pregnant women were classified according to the week of admission to the prenatal control program: < week 24 or later. Women with a fasting blood glucose over 92 mg/dL and under 126 mg/dL or with some positive result to the oral glucose tolerance test were included.
Results:
Nine percent (1,887 women) of 21,699 registries of pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries with complete data were analyzed. Sixty nine entered the program at less than 24 weeks of pregnancy and 71% had had a fasting blood glucose measured in the first control. In 69.2% of these women, criteria for gestational diabetes was met. A glucose tolerance test was suggested to women with a blood glucose below 92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for gestational diabetes. Among the 498 women who entered the program after 24 weeks of gestation, 68% met the criteria for gestational diabetes with the fasting blood glucose levels. In 90 women, a glucose tolerance test was performed and 80% met the criteria for gestational diabetes.
Conclusions:
An adequate adherence to guidelines favors the detection of pregnant women with gestational diabetes.
More Related Videos
Related Concept Videos
01:22Diabetes Mellitus: Type 2 and Gestational
01:26Guidelines for Nursing Documentation II
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
01:06Legal Guidelines for Documentation
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:23Guidelines for Sketching a Curve
01:11Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...