Consensus in Gestational Diabetes MELLITUS: Looking for the Holy Grail

Journal of Clinical Medicine
Mukesh M Agarwal

Abstract

The world's pre-eminent diabetes, obstetric, endocrine, and health organizations advocate a plethora of diverse algorithms for the screening, diagnosis, management, and follow-up of gestational diabetes mellitus (GDM). Additionally, there are regional recommendations of local health societies. Several of these proposals for GDM are contentious because some of them were developed from unscientific studies, based on expert-opinion, catered to preserve resources, and subjectively modified for convenience. Due to the wide variety of choices available, the approach to GDM can be extremely diverse even within the same hospital. This lack of consensus creates major problems in addressing prevalence, complications, efficacy of treatment, and follow-up of GDM. Moreover, it becomes nearly impossible to compare the numerous studies. Furthermore, the lack of consensus confuses the health care providers of obstetric health who look to the experts for guidance. Therefore, a clear, objective, "evidence-based" global approach, which is simple, easy to follow, and validated by corroborative research, is crucial. We contend that, despite decades of research, a single acceptable global guideline is not yet on the horizon.

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Citations

Mar 6, 2019·Asia-Pacific Journal of Public Health·Phung Thi Hoang NguyenDung Van Do
Oct 31, 2019·European Journal of Public Health·Amber WerbrouckNick Verhaeghe
May 20, 2020·Revista da Associação Médica Brasileira·A Seval Ozgu-Erdinc
Dec 17, 2020·International Journal of Environmental Research and Public Health·Mukesh M Agarwal
Jun 26, 2021·World Journal of Diabetes·Leon de WitBas B van Rijn

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