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Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment? From: ainsron (ainsron@sbcglobal.net) Thu Nov 10 11:08:46 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Previous message: ainsron: "Re: Twins and VBAC" In reply to: art fougner, md: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" I think the correlation with IGT and IFG is not with abnormal outcomes in pregnancy, but with the risk of developing type 2 DM as they get older. At least that is what came out of a meeting I attended last weekend. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art fougner, md Sent: Thursday, November 10, 2005 3:40 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment? OK ... so there is some evidence that one abnormal value is correlated with some abnormal outcomes. Would anyone therefore place these patients on a diabetic diet or are we simply repeating the GTT at a later time? art At Wed, 09 Nov 2005, Robert J. Carpenter, Jr. MD wrote: > >The 75 gm WHO std is not the std for dx in the US. Additionally the present of 1 >elevated value in a large study from Italy years ago (the 2hr value) showed that >increasing value correlated with increased size and increased c/s rate (Tallerigho - >sp?). If GDM is dx, then retesting at 8-10wks PP with the 75gm WHO std is >appropriate for determination of class of glu tolerance > >On 8 Nov 2005 at 15:12, ainsron wrote: > >> Here's the position paper from the American Diabetes Association: >> http://care.diabetesjournals.org/cgi/content/full/26/suppl_1/s103 >> >> If they IFG (impaired fasting glucose) or IGT (Impaired glucose >> tolerance) the recommendations only suggest retesting postpartum and >> annually. Retesting later in pregnancy, ~34 wks is also reasonable. >> >> Ronald E. Ainsworth, MD, FACOG >> >> -----Original Message----- >> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of >> Natalie Melanson, RM Sent: Monday, November 07, 2005 6:28 PM To: >> Multiple recipients of list OB-GYN-L Subject: Impaired Glucose >> Tolerance vs Gestational Diabetes - treatment? >> >> First a brief intro: I am a registered midwife working in a group >> practice in Northern Ontario, Canada. >> >> Notwithstanding the controversy surrounding even screening for GDM - >> at our practice we do screening based on risk factors - I am wondering >> what everyone's treatment protocol is regarding confirmed Gestational >> Diabetes vs "just" Impaired Glucose Tolerance of pregnancy, ie. only >> one elevated value on 75g GTT that is NOT diagnostic of GDM. Do you >> do the same diet counseling, glucose monitoring, fetal monitoring in >> the last trimester, etc? My feeling is that diet counseling should be >> enough for IGT and then perhaps repeat the test after a month or so of >> dietary changes. >> >> thanks, >> >> Natalie Melanson, RM >> Sudbury Community Midwifery Practice >> Sudbury, Ontario >> >-- >Robert J. Carpenter, Jr. MD >6624 Fannin, #2720 >St. Luke's Medical Tower >Houston,TX 77030-2339 >713-795-4600 > -- art fougner, md "I knew I was going to take the wrong train, so I left early." Lawrence Peter Berra Next message: ainsron: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Previous message: ainsron: "Re: Twins and VBAC" In reply to: art fougner, md: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?"

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