Early glucose screening

From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Mon Nov 1 02:24:23 2004

How is everyone screening for women with risk factors for pregestational diabetes in early pregnancy (ie obesity, prior GDM, family history) The technical bulletin states they need to be screened but doesn't really say what test needs to be ordered.

My thought is that the ADA criteria for diagnosing diabetes outside of pregnancy, either fasting glucose or a 2 hr GCT should work. I'm not sure the 1 hr 50gm glucola is the right test even though it's the one we are most familiar with.

Any thoughts?

Glen

D. Glen Elrod, Maj USAF, MC Obstetrician/Gynecologist Maternal Child Flight

48 MDOS/SGOBO UNIT 5210 Box 23 APO, AE 09464 DSN (314) 226-8334 Comm 01638-52-8334

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