Document Detail


Update on gestational diabetes mellitus.
MedLine Citation:
PMID:  22309583     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The incidence of gestational diabetes mellitus (GDM) is increasing in the United States. Universal GDM screening is recommended, although evidence of benefit is lacking. Treatment of GDM reduces the risk of shoulder dystocia, preeclampsia, and macrosomia. Intensive treatment is more effective than less-intensive treatment. Traditional management includes diet, exercise, and short- and intermediate-acting insulin regimens. Use of metformin and glyburide is controversial, but evidence supporting safety and efficacy is accumulating. Postpartum screening with a glucose tolerance test rather than a fasting blood glucose level should be performed 6 weeks after delivery.
Authors:
Ann E Evensen
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Publication Detail:
Type:  Journal Article     Date:  2011-12-15
Journal Detail:
Title:  Primary care     Volume:  39     ISSN:  1558-299X     ISO Abbreviation:  Prim. Care     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0430463     Medline TA:  Prim Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  83-94     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, 100 North Nine Mound Road, Verona, WI 53593, USA.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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