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Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment? From: Efrain Ramirez (eramirezt@coqui.net) Tue Nov 8 20:57:27 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: GEN: New Worm Targets Linux Systems" Previous message: Karen Lee: "Re: Doctors, Lawyers Do Battle in Wash. Over Tort Reform" Next in thread: ainsron: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Reply: ainsron: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Ron - are you using glyburide? Ef >At Tue, 8 Nov 2005, 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 -- Have the courage to be ignorant of a great number of things, in order to avoid the calamity of being ignorant of everything. Sydney Smith (1771 - 1845) ~walt whitman~ Next message: Efrain Ramirez: "Re: GEN: New Worm Targets Linux Systems" Previous message: Karen Lee: "Re: Doctors, Lawyers Do Battle in Wash. Over Tort Reform" Next in thread: ainsron: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" Reply: ainsron: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?"

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