Screening and diagnosis of gestational diabetes

What you need to knowGestational diabetes may affect up to 30% of pregnancies, depending on the population, screening strategy and diagnostic criteriaScreening and diagnosis, with subsequent treatment of gestational diabetes after 24 weeks’ gestation, reduces maternal, fetal, and newborn complicationsIn the absence of international consensus, offer screening and diagnosis using local hospital, national, or international guidelines, taking into account available resourcesWomen who have experienced gestational diabetes are at higher risk of developing type 2 diabetes and are therefore a key group for targeted diabetes prevention supportA 32 year old woman books with her midwife at 8 weeks’ gestation. It is her first pregnancy. She is living with obesity, has South Asian ethnicity, and her father developed type 2 diabetes in his 60s. Her sister in the US and her cousin in India have recently been diagnosed with gestational diabetes using different diagnostic approaches. She asks why testing differs and what…
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