| International survey on gestational diabetes. | |
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MedLine Citation:
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PMID: 22384941 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Objective: There is a lack of consensus among guidelines for screening, diagnosis and management of gestational diabetes (GDM). The purpose of this project was to determine current practices around GDM amongst members of the Medical Women's International Association (MWIA). Methods: The MWIA with the Division of Endocrinology and Metabolism, University of Ottawa, developed an online survey using "Survey Monkey" and distributed it to its members. Results: One-hundred and twenty-five members completed the survey. Universal screening was recommended by 83% and most followed published guidelines. The 50-g GCT was used for screening by 23% of participants while 25% recommended fasting blood glucose. There was also variability in how to proceed following a positive screening test. Almost 65 % recommended one of the glucose tolerance tests (50-g OGTT 26.7 % vs. 75-g OGTT 25.6% vs. 100-g OGTT 12.2%), while 18.8% recommended starting treatment and 16.7% used other diagnostic measures. Insulin was the most recommended treatment (75%) if diet/lifestyle failed. Conclusions: Our survey highlights the international variability that exists in the screening, diagnosis, and management of women with GDM. These differences impact on true prevalence rates and may underestimate the costs of this disease. The recommendation to move to a single internationally accepted diagnostic algorithm may be hampered by the variation in current practice globally. |
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Authors:
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Mary-Anne Doyle; Shajia Khan; Dabia Al-Mohanadi; Erin Keely |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-3-2 |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: - ISSN: 1476-4954 ISO Abbreviation: - Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-3-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Division of Endocrinology and Metabolism, University of Ottawa, Ottawa Hospital, Ottawa, ON. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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