Document Detail


Gestational diabetes mellitus - Negotiating the confusion.
MedLine Citation:
PMID:  23971059     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Recommendations to change the diagnostic criteria for gestational diabetes mellitus (GDM) are controversial. Two sets of criteria are currently in use in Australia, which has led to considerable confusion.
OBJECTIVE: This article discusses the rationale behind the proposed changes to the diagnostic criteria, and aims to clarify the current approach to the testing for and diagnosis of GDM in Australia.
DISCUSSION: Gestational diabetes mellitus has adverse effects on pregnancy outcomes and implications for the long term wellbeing of mother and infant. New information about the relationship between hyperglycaemia in pregnancy and fetal outcomes has led to the formulation of revised recommendations for testing and diagnosis of GDM. The changes to the diagnostic threshold will increase the numbers of women diagnosed with GDM by up to 50%. Evidence that management of GDM improves neonatal outcomes mandates a proactive approach to diagnosis and management. General practitioners will have an increasing role in managing GDM.
Authors:
Alison Nankervis; Jennifer Conn
Related Documents :
19204859 - Problematic integration in pregnancy and childbirth: contrasting approaches to uncertai...
18641519 - The missing element: consanguinity as a component of genetic risk assessment.
10954399 - Health insurance status and mood during pregnancy and following birth: a longitudinal s...
16150659 - Pregnancy intention from men's perspectives: does child support enforcement matter?
3669089 - Pregnancy in hispanic women.
15246169 - The rhetoric of "natural" in natural childbirth: childbearing women's perspectives on p...
12749039 - Chaotic and periodic analysis of fetal magnetocardiogram recordings in growth restriction.
7847109 - Cervical inflammation and preterm delivery in pregnant women with a history of preterm ...
24372489 - Commentary for mcmanus et al paper, "maternal, umbilical arterial and umbilical venous ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian family physician     Volume:  42     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  528-31     Citation Subset:  IM    
Affiliation:
MBBS MD FRACP, is Clinical Head, Diabetes, Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Victoria.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The metabolic syndrome.
Next Document:  Obesity - Recommendations for management in general practice and beyond.