Navigation Links
Experts recommend universal diabetes testing for pregnant women at first prenatal visit
Date:11/5/2013

Chevy Chase, MDThe Endocrine Society today issued a Clinical Practice Guideline (CPG) to help health care professionals provide the best care to pregnant women who have diabetes.

The CPG, entitled "Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline" appeared in the November 2013 issue of the Journal of Clinical Endocrinology and Metabolism (JCEM), a publication of The Endocrine Society.

Experts acknowledge that cases of diabetes in pregnant women are being missed by traditional screening methods, said Ian Blumer, MD, of the Charles H. Best Diabetes Centre in Whitby, Ontario, Canada, and chair of the task force that authored the guideline. The Endocrine Society CPG recommends that all pregnant women who have not been previously diagnosed with diabetes be tested for the condition at their first prenatal visit. The test should be done before 13 weeks' gestation or as soon as possible thereafter.

"Many women have type 2 diabetes but may not know it," Blumer said. "Because untreated diabetes can harm both the pregnant woman and the fetus, it is important that testing for diabetes be done early on in pregnancy so that if diabetes is found appropriate steps can be immediately undertaken to keep both the woman and her fetus healthy."

As many as one in five women may develop gestational diabetes a form of diabetes that has its onset during pregnancy. Traditional testing strategies only identify about a quarter of these cases. This means that many women go undiagnosed and are at increased risk of having an overly large baby, which can complicate delivery.

"To address this problem, the CPG advocates for using lower blood glucose levels to diagnose gestational diabetes," Blumer said. "Using these lower levels will allow for the detection of gestational diabetes in many women when it would otherwise go undetected using the older diagnostic thresholds. Once the diagnosis is made, treatment can be given to help the fetus grow normally."

"Thanks to important new studies of the interplay between diabetes and pregnancy, diabetes specialists and obstetricians have identified best practices for caring for pregnant women with this condition," Blumer added. "The guideline synthesizes evidence-based strategies to support women who have diabetes during pregnancy."

Other recommendations from the CPG include:

  • All pregnant women who have not previously been diagnosed with diabetes should be tested for gestational diabetes by having an oral glucose tolerance test performed at 24-28 weeks' gestation;

  • Weight loss is recommended prior to pregnancy for women with diabetes who are overweight or obese;

  • Initial treatment of gestational diabetes should be medical nutrition therapy and daily moderate exercise lasting at least 30 minutes;

  • If lifestyle therapy is not sufficient to control gestational diabetes, blood glucose-lowering medication should be added;

  • Women with gestational diabetes should have an oral glucose tolerance test six to 12 weeks after delivery to rule out prediabetes or diabetes;

  • Women who have had gestational diabetes with a previous pregnancy need to be tested for diabetes regularly, especially before any future pregnancies; and

  • Women who have type 1 or type 2 diabetes should undergo a detailed eye exam to check for diabetic retinopathy, and, if damage to the retina is found, have treatment before conceiving.

The Hormone Health Network has published a fact sheet on gestational diabetes. The resource is available at http://www.hormone.org/questions-and-answers/2012/gestational-diabetes.


'/>"/>

Contact: Jenni Glenn Gingery
jgingery@endocrine.org
301-941-0240
The Endocrine Society
Source:Eurekalert

Related medicine news :

1. Experts Examine the Success of Cognitive Behavioral Therapy in Treating Depression Among Older Veterans
2. NJ Hospital Alliance Leaders and Other Health Experts Call for Changes to Protect New Jersey Safety Net Hospitals Under Accountable Care Act and Medicaid Expansion
3. Brock Educational Seminar Brings Experts in Injury Prevention, Sustainability and Landscape Design Together to Discuss Building Safer, More Eco-effective Playing Fields
4. CME Course to Feature International Experts on Mesothelioma
5. Minimally invasive surgery for paraesophageal hernia is revolutionary -- but experts still differ on
6. Skin Health Experts Celebrate 10 Year Anniversary, Facial Attraction Locations Gifting $30 Vouchers to Patrons for Limited Time
7. Top Health Plan Experts to Provide Strategies for Using Mobile Devices, Social Media in Nov. 7 Webinar
8. LME 2013 Experts Provide Insight Into Continued Laser Market Growth
9. Three Gorman Health Group Experts to Provide Insight on 2014 Star Ratings for MA and Part D
10. Gates Foundation and Mayo Clinic Experts to Address Vaccine Research in the 21st Century
11. World’s Leading Experts in Preventive, Nutritional Medicine Present This Week in Naples, Florida at Inaugural North American Plant-based Nutrition Healthcare Conference
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... Atlanta, Georgia (PRWEB) , ... May 26, 2016 ... ... a certificate in intellectual property (IP) to its specialty academic programs. , Answering ... joins the college’s existing certificate programs in health law, and environmental and land ...
(Date:5/26/2016)... ... May 26, 2016 , ... The Woodlands at John Knox ... new model of care for living and healing, celebrated its grand opening, today. The ... a Real Home provided by Empowered Staff. , “This is an incredibly fulfilling time ...
(Date:5/26/2016)... ... May 26, 2016 , ... MadgeTech will be showcasing its line of ... New Hampshire at the MadgeTech headquarters. With products sold in more than 100 countries ... agencies, including NASA. , In 2012, NASA strategically set up 17 RHTemp101A ...
(Date:5/26/2016)... SURPRISE, ARIZ. (PRWEB) , ... May 26, 2016 , ... ... worry of American families. , The 550 employees of Sun Health Senior Living ... plan through Aetna that reduces their doctor and prescription copays for the year, while ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... supply chain solutions, today announced the organization has earned its ISO 13485 certification, ... and is compliant with all rules and policies associated with ISO quality standard ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... , May 24, 2016   ... endpoints demonstrating non-inferiority in overall bowel cleansing and superiority ... c leansing of the ... http://photos.prnewswire.com/prnh/20130829/633895-a ) , Norgine B.V. today announced new ... litre PEG and ascorbate bowel preparation) versus standard 2 litre PEG ...
(Date:5/24/2016)... -- Joe Marziani has joined VMS BioMarketing as senior vice president of sales, announced ... role, Marziani will lead the company,s business development and sales team, exploring new opportunities ... Photo - http://photos.prnewswire.com/prnh/20160523/371089 ... ... ...
(Date:5/24/2016)... Dutch surgeons have launched a ground-breaking medical ... and treat patients on a global scale. Medical professionals from ... Asia and the US have already signed up for ... in a totally secure environment. Education  "Imagine ... together with a surgeon at Harvard to treat a bomb victim ...
Breaking Medicine Technology: