Re: early glucose screening

From: art fougner, md (evsono@pipeline.com)
Tue Nov 2 06:53:49 2004


Many Europeans are not saddled with second-guessing monday morning quarterbacking trial lawyers.

art

At Tue, 2 Nov 2004, Braun, R. Daniel wrote: >
>Right on all counts.
>If I remember correctly, many Europeans don't even recognize Gestational
>Diabetes as an entity.
>
>R. Daniel Braun, MD
>
>"If everyone likes you, you're doing something wrong."
>
>Kinky Friedman
>
>I believe a self-righteous liberal or conservative with a cause is more
>dangerous than a Hell's Angel with an attitude.
>
>Andy Rooney
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Freda
>Sent: Monday, November 01, 2004 8:07 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: early glucose screening
>
>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
>

--
art fougner, md
ich bin ein New Yorker




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