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

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.


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

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