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Re: GDM screening- commentFrom: mark decker (mdecker@nconnect.net)Fri Jan 31 01:47:11 1997
> > But restricting carbohydrate, testing blood sugars and/or >>injecting Insulin don't help at all. The Cochrane database is quite >>clear on this. are you just talking about gestation DM here? even with the "need" for inulin in addition to diet to keep BS in the low ranges we are accustomed to using in pregnancy?? how does one know that the diabetic patient first dx'd at 24 weeks pregnancy is not diabetic <hyperglycemic> prior to the pregnancy?? If there were no sugar screens to prove euglycemic status prior to pregnancy I would have a hard time not treating this patient..I was trained to treat GDM and I would have a hard time not tracking BS's and responding with a diet..etc..prn. <prn from my training.> SHOW ME THE MONEY <the data> cuz I don't want to show the plaintiff's attorney in a brachial plexus/macrosomic infant case his/her 33%. Mark -- mark decker md obgyn: midwest multi-specialty clinic drug of choice: Harley-Davidson
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