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Re: Is this GDM ?From: afish04@emory.eduThu May 9 08:39:04 1996
Joe, Dave et al, I agree essentially what has been said, however, but I think I would at least get a few more data points to convince me that her fasting is truly eleveted such as three capillary AM fastings with a diet history to be analyzed for CHO content. Treating one value could be "dangerous." All said, if her values remain elevated, then I would treat. If they are not, then I would "spot" check her once a week at most for another fasting capillary glc. If it is elevated again, start the Rx. Nobody has addressed the issue of fetal surveillance though. I would probably treat this situation as a GDM (whatever your protocols are wherever you are!). Don't blast me too much for this one... I'll be out of town for the next few days looking for a job. Cheers Allan Fisher, MD Maternal Fetal Medicine Medical Genetics Fellow Emory University Atlanta, GA Home of the Olympics 1996 and traffic jams and #1 crime rate in the USA!
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