Editorials

Monitoring blood glucose in gestational diabetes

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7073.3 (Published 04 January 1997) Cite this as: BMJ 1997;314:3

Superiority of preprandial monitoring not proved

  1. A Bargiota, Clinical and research fellowa,
  2. R J M Corrall, Consultant physician and endocrinologista
  1. a Directorate of Medicine, The Royal Infirmary, Bristol BS2 8HW

    Gestational diabetes mellitus is defined as glucose intolerance first detected during pregnancy with reversion to normal after delivery. It is generally considered a consequence of the endocrine changes of pregnancy in women who are genetically predisposed to non-insulin dependent diabetes. Thus, it is associated with a subsequent cumulative incidence of diabetes as high as 60% after 16 years of follow up.1 Since blood glucose concentrations do not have a bimodal distribution, the frequency of gestational diabetes will depend on the arbitrary blood glucose concentration chosen for diagnosis.

    The impact of gestational diabetes is similar to that of established diabetes, although the complications are fewer and less severe. However, there is little consensus in the literature concerning the biochemical definition, perceived ill effects, or appropriate treatment. For initial treatment, dietary instruction is …

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