Gestational diabetes screening and glycaemic management; national survey on behalf of the Association of British Clinical Diabetologists

QJM : Monthly Journal of the Association of Physicians
F W F HannaP W Jones

Abstract

There is no UK consensus for screening methodology, diagnosis and management of gestational diabetes mellitus (GDM). To evaluate routine practice for GDM management across the UK. Questionnaires were sent to all members of the Association of British Clinical Diabetologists. They were asked to describe how patients were screened for GDM, the diagnostic criteria and subsequent management and clinical targets. Centres that did not respond were followed up by personal communication. Variability trends within regions were assessed. The response rate averaged 46% nationally (35-67%). Most (85%) units hold a joint clinic, regardless of the size. Most (82%) centres routinely screen for GDM; half universally and half screening high risk pregnancies only. Screening tests, cut-off values, timings and subsequent action vary widely. The first screening test to be used varies, with 40% using glycosuria, followed by random plasma glucose (RPG)(28%), high risk features (11%) then FPG in 6%. Cut-off values for both random and plasma glucose as screening methods also vary. The 75 g oral glucose tolerance test (OGTT) is the most likely confirmatory test to be used if initial screening is positive; however, clinicians rely on different cut-off val...Continue Reading

References

Mar 1, 1987·Diabetic Medicine : a Journal of the British Diabetic Association·N I JowettA C Burden
Sep 1, 1988·British Journal of Obstetrics and Gynaecology·A A NasratS A Hasan
Dec 1, 1980·Diabetes·N Freinkel
Feb 1, 1995·American Journal of Obstetrics and Gynecology·J OwenS G Gabbe
May 6, 1999·Diabetic Medicine : a Journal of the British Diabetic Association·G J MiresV Harper
Oct 7, 2000·Diabetes Care·B R Zimmerman
Feb 8, 2002·The New England Journal of Medicine·William C KnowlerUNKNOWN Diabetes Prevention Program Research Group
Sep 28, 2002·Diabetes Care·Catherine KimRobert H Knopp
Mar 1, 2005·Diabetes Care·Dana DabeleaUNKNOWN Kaiser Permanente of Colorado GDM Screening Program
Jun 14, 2005·The New England Journal of Medicine·Caroline A CrowtherUNKNOWN Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group

❮ Previous
Next ❯

Citations

Dec 30, 2014·The Journal of Obstetrics and Gynaecology Research·Mukesh M AgarwalYusra Othman
Jan 13, 2015·Archives of Gynecology and Obstetrics·Suleyman Hilmi IpekciCetin Celik
Dec 7, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marsha van LeeuwenBen Willem J Mol
Apr 16, 2014·Diabetes Research and Clinical Practice·Stephen ColagiuriHui-xia Yang
Dec 3, 2014·American Journal of Obstetrics and Gynecology·Diana A RacusinKjersti M Aagaard
Jan 27, 2011·Reproductive Sciences·J L StanleySandra T Davidge
Jun 18, 2010·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Joanna L StanleySandra T Davidge
Aug 24, 2017·The Cochrane Database of Systematic Reviews·Diane FarrarDebbie A Lawlor
Mar 1, 2016·Expert Review of Endocrinology & Metabolism·Dustin Anderson, Douglas W Zochodne

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The New England Journal of Medicine
Caroline A CrowtherAustralian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group
The New England Journal of Medicine
HAPO Study Cooperative Research GroupDavid A Sacks
© 2022 Meta ULC. All rights reserved