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Related Experiment Videos

Screening and testing for gestational diabetes mellitus

D R Coustan1

  • 1Department of Obstetrics and Gynecology, Brown University School of Medicine, Providence, Rhode Island, USA.

Obstetrics and Gynecology Clinics of North America
|March 1, 1996
PubMed
Summary
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Gestational diabetes mellitus screening is common in the US, but global guidelines vary. This article reviews optimal screening and diagnostic testing strategies for this pregnancy complication.

Area of Science:

  • Obstetrics and Gynecology
  • Endocrinology
  • Maternal-Fetal Medicine

Background:

  • Gestational diabetes mellitus (GDM) is carbohydrate intolerance diagnosed during pregnancy.
  • Universal GDM screening is common in the US, but international consensus is lacking.
  • Debate exists regarding the optimal approach to GDM screening and diagnosis.

Purpose of the Study:

  • To discuss the desirability of GDM screening programs.
  • To review current practices and controversies in GDM screening.
  • To consider best practices for GDM screening and diagnostic testing.

Main Methods:

  • Literature review and expert discussion.
  • Analysis of existing screening and diagnostic criteria.
  • Synthesis of current evidence and recommendations.

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Main Results:

  • Over 75% of US obstetricians practice universal GDM screening.
  • Significant international variation exists in GDM screening recommendations.
  • No universal agreement on the optimal screening or diagnostic approach for GDM.

Conclusions:

  • The need for GDM screening is generally accepted.
  • Further research and international collaboration are needed to establish optimal screening and diagnostic protocols.
  • Standardizing GDM testing can improve maternal and infant outcomes.