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• W2057405825 abstract "Gestational diabetes mellitus (GDM), or “carbohydrate intolerance of variable severity with onset or first recognition during pregnancy,” results from insulin resistance and relative insulin deficiency, usually in the second trimester.1 This condition affects between 4 and 9% of all pregnancies.2 With GDM, there are increased fetal complications of macrosomia, shoulder dystocia, and neonatal hyperglycemia, as well as maternal risks of preeclampsia and polyhydramnois.3,4 Also, it has been shown that 33% of GDM patients require Cesarean section compared to 20% of pregnant patients without GDM.5 Women who are of Hispanic or Asian descent are at the highest risk of developing GDM.6According to the American Diabetes Association (ADA),7 assessment for undiagnosed type 2 diabetes should be completed at the first prenatal visit. Patients who are high risk (those with severe obesity, a history of GDM, a diagnosis of polycystic ovarian syndrome, a strong family history of type 2 diabetes, or glycosuria) should be screened using standard diagnostic testing. Diagnosis is based on the following results: A1C ≥ 6.5%, fasting plasma glucose level ≥ 126 mg/dl, 2-hour plasma glucose level ≥ 200 mg/dl during an oral glucose tolerance test (OGTT), or classic symptoms of hyperglycemia with a random blood glucose level ≥ 200 mg/dl.7All remaining pregnant women who are not known to have diabetes should have testing for GDM at 24–28 weeks of gestation using a 75-g, 2-hour OGTT. Patients are diagnosed with GDM if they have any of the following plasma glucose values: fasting ≥ 92 mg/dl, 1-hour ≥ 180 mg/dl, or 2-hour ≥ 153 mg/dl.7Upon diagnosis of GDM, medical nutrition therapy, self-monitoring of blood glucose (SMBG), and fetal monitoring are initiated. A study by Landon et al.8 found that treatment of mild GDM resulted in a lower …" @default.
• W2057405825 created "2016-06-24" @default.
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• W2057405825 date "2011-05-01" @default.
• W2057405825 modified "2023-09-25" @default.
• W2057405825 title "Gestational Diabetes Clinic in the Public Health Setting" @default.
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• W2057405825 doi "https://doi.org/10.2337/diaspect.24.2.108" @default.
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