Re: GDM screening

From: Betsy Hyde (elishyde@connix.com)
Mon Mar 22 17:26:15 1999


1) preload for 2 days before 3 hr GTT

2) do weekly BPPs on gestational diabetics, whether they are on insulin or not

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?

no, but.....we do use some of our clinical judgement here. Recently had a woman who was overweight, had abnormal 1 hr test, 1 abnormal value on 3 hr (therefore, a normal 3 hr) but was S>D. U/S showed increased fluid and fetus in 99%ile at 32 weeks. So we did check her FBS/2hr PP which were normal.

--
Betsy Hyde CNM
Branford, CT




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