| Screening for hyperglycaemia in pregnancy: Consensus and controversy. | |
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MedLine Citation:
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PMID: 20832736 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Policy decisions on whether to implement screening programmes depend on whether the proposed programmes meet a set of criteria laid down by the World Health Organization. Screening for hyperglycaemia in pregnancy (HGP) does not meet all the criteria. However the case for screening has been strengthened by a number of recent developments, including: rising prevalence of HGP because of increasing maternal age and BMI; the results of the Hyperglycaemia and Adverse Pregnancy Outcomes study, showing that adverse effects of HGP are seen over a wider range of plasma glucose levels than previously thought; two large trials which showed the benefits of treating lesser degrees of HGP; trials showing that metformin and glibenclamide were effective and safe alternatives to immediate insulin in those without good control on lifestyle measures alone. However uncertainties remain around the threshold for treatment, and on the best screening strategy. |
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Authors:
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Norman Waugh; Donald Pearson; Pamela Royle |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Best practice & research. Clinical endocrinology & metabolism Volume: 24 ISSN: 1532-1908 ISO Abbreviation: Best Pract. Res. Clin. Endocrinol. Metab. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2011-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101120682 Medline TA: Best Pract Res Clin Endocrinol Metab Country: Netherlands |
Other Details:
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Languages: eng Pagination: 553-71 Citation Subset: IM |
Copyright Information:
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2010. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Public Health Medical School Buildings, Foresterhill, Aberdeen, UK. n.r.waugh@abdn.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Body Mass Index Diabetes, Gestational / diagnosis*, epidemiology Female Glucose Tolerance Test / methods Great Britain / epidemiology Humans Hyperglycemia / diagnosis* Mass Screening / economics, standards* Maternal Age Pregnancy United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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