Re: OGTT

From: ainsron (ainsron@sbcglobal.net)
Thu Mar 22 08:31:10 2007


We use the 75 gm glucola with FBS and 2hr BS in the non pregnant patient. However, the 3hr GTT, 100gm glucola is still recommended by ACOG and ADA for diagnosis of the gestational diabetic. They have to be abnormal either on the FBS or two of the other three values to be diagnosed. I think you would miss some of the gestational diabetics if you only looked at one value after the fasting.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of arunangsu de Sent: Wednesday, March 21, 2007 8:58 PM To: Multiple recipients of list OB-GYN-L Subject: OGTT

gtt scenario is changing..

nowadays WHO is recommending..75 gm glc

only fasting and 2 hr glucose assesment

single abnormal value is diagnostic..

most hospitals r using this..other than conventional 4 value GTT which is only being used in a few hospitals in USA..

does 4 value OGTT have any special therapeutic or diagnostic advantage?

Dr Arunangsu De

M.D. (PGI, Chandigarh) Assistant Professor

Department of Obstetrics and Gynaecology Alluri Sitarama Raju Academy of Medical Sciences Eluru , Andhra Pradesh

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