Screening and active management reduced perinatal complications more than routine care in gestational diabetes: COMMENTARY

Ray, Joel G.
November 2005
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p65
Academic Journal
This article comments on a clinical study according to which screening and active management reduced perinatal complications more than routine care in gestational diabetes. This trial offers high-quality evidence to answer the question about the efficacy of treating GDM. The approach used in this well-designed RCT stands to principally benefit the newborn infant. Apart from greater health resource utilization, the availability of an experienced dietitian and inexpensive glucometer testing, as well as a higher rate of induction of labor, few adverse consequences result from treating GDM. Small, remote hospitals caring for Native American women for whom the rate of GDM is high should also be equipped to deal with GDM especially if dietary changes are not possible.


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