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Re: early glucose screening From: Freda (fredalss@ca.inter.net) Mon Nov 1 18:05:44 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Early glucose screening" Previous message: Gerald P. Rodríguez: "Re: Cervical stenosis in the office" At 4:58 AM -0600 11/1/04, ob-gyn-l@obgyn.net wrote: >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. To my mind, screening is for women with no risk factors. I used to advise the 2-3 hour GTT for women with risk factors, as that is a more reliable test. For women with no risk factors who "fail" the screening one hour GTT, they need to go on to a 2-3 hour GTT for definitive diagnosis and management. I recall Cochrane not supporting screening. -- Freda Seddon, Community Midwife, Ontario Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Early glucose screening" Previous message: Gerald P. Rodríguez: "Re: Cervical stenosis in the office"

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