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GDM screeningFrom: Hugo D. Ribot Jr. (hribot@mindspring.com)Mon Mar 22 11:29:50 1999
Dear gang: Like Dr. Shen, I would like to conduct a group poll re: GDM screening. 1) Do you "pre-load" with extra carbos/sugars for 3 days prior to a 3 hr GTT? 2) Do you do weekly NSTs on patients with abnormal - 3 hr GTTs but diet controlled? - 1 hr screens but normal 3 hr GTTs? - 3 hr GTTs requiring insulin (no pregestational diabetes)? 3) If you have a pt with abnormal 1 hr test but normal 3 hr GTT, do you still check their fasting or postprandial glucose? Had a big argument - er, I mean, discussion - with our new (finished residency 7/98) associate about not torturing/unnecessarily worrying pts with fingersticks/etc if 3 hr GTT is WNL. Appreciate all the feedback. Hugo
-- Hugo D. Ribot Jr., M.D., FACOG 9 yrs private practice Cartersville, GA
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